• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

耐药性癫痫与手术。

Drug-Resistant Epilepsy and Surgery.

机构信息

Jilin Provincial Key Laboratory on Molecular and Chemical Genetic, The Second Hospital of Jilin University, Changchun 130041, China.

出版信息

Curr Neuropharmacol. 2018;16(1):17-28. doi: 10.2174/1570159X15666170504123316.

DOI:10.2174/1570159X15666170504123316
PMID:28474565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5771378/
Abstract

BACKGROUND

Epilepsy is a chronic brain disease that is caused by various factors and characterized by recurrent, episodic and temporary central nervous system dysfunction which results due to excessive discharge of brain neurons. In the past decades, despite the continuous development of antiepileptic drugs, there are still many patients with epilepsy progressing to drugresistant epilepsy. Currently, surgical treatment is one of important way to cure drug-resistant epilepsy.

METHODS

Data were collected from Web of Science, Medline, Pubmed, through searching of these keywords: "surgery" and "drug-resistant epilepsy".

RESULTS

An increasing number of studies have shown that surgery plays an important role in the treatment of drug-resistant epilepsy. Moreover, the comprehensive treatment mainly based on surgery can achieve the remission and even cure of drug-resistant epilepsy.

CONCLUSION

In this review, we discuss the pathogenesis of drug-resistant epilepsy and the comprehensive treatment mainly based on surgery; this review may provide a reference for the clinical treatment of drug-resistant epilepsy.

摘要

背景

癫痫是一种由多种因素引起的慢性脑部疾病,其特征是反复发作、间歇性和暂时性的中枢神经系统功能障碍,这是由于大脑神经元过度放电所致。在过去的几十年中,尽管抗癫痫药物不断发展,但仍有许多癫痫患者进展为难治性癫痫。目前,手术治疗是治疗耐药性癫痫的重要方法之一。

方法

从 Web of Science、Medline、Pubmed 等数据库中收集数据,通过检索“手术”和“耐药性癫痫”等关键词进行检索。

结果

越来越多的研究表明,手术在耐药性癫痫的治疗中起着重要作用。此外,以手术为主的综合治疗可以达到缓解甚至治愈耐药性癫痫的目的。

结论

本文讨论了耐药性癫痫的发病机制和以手术为主的综合治疗;这篇综述可能为耐药性癫痫的临床治疗提供参考。

相似文献

1
Drug-Resistant Epilepsy and Surgery.耐药性癫痫与手术。
Curr Neuropharmacol. 2018;16(1):17-28. doi: 10.2174/1570159X15666170504123316.
2
Clinical factors predict surgical outcomes in pediatric MRI-negative drug-resistant epilepsy.临床因素可预测小儿MRI阴性耐药性癫痫的手术结果。
Seizure. 2016 Oct;41:56-61. doi: 10.1016/j.seizure.2016.07.004. Epub 2016 Jul 20.
3
Drug-resistant focal epilepsy in women of childbearing age: Reproduction and the effect of epilepsy surgery.育龄期女性的耐药性局灶性癫痫:生育与癫痫手术的影响
Epilepsy Behav. 2016 Jul;60:17-20. doi: 10.1016/j.yebeh.2016.04.002. Epub 2016 May 10.
4
Surgical versus medical treatment of drug-resistant epilepsy: A systematic review and meta-analysis.药物难治性癫痫的手术治疗与药物治疗:一项系统评价和荟萃分析。
Epilepsy Behav. 2018 May;82:179-188. doi: 10.1016/j.yebeh.2017.11.012. Epub 2018 Mar 23.
5
Initiating a new national epilepsy surgery program: Experiences gathered in Georgia.启动新的国家癫痫手术项目:在格鲁吉亚积累的经验。
Epilepsy Behav. 2020 Oct;111:107259. doi: 10.1016/j.yebeh.2020.107259. Epub 2020 Jul 1.
6
The impact of stereotactic laser ablation at a typical epilepsy center.在一个典型癫痫中心立体定向激光消融术的影响。
Epilepsy Behav. 2018 Jan;78:37-44. doi: 10.1016/j.yebeh.2017.10.041. Epub 2017 Nov 22.
7
Drug-resistant epilepsy in children with hemophilia: how can we do it surgically?儿童血友病耐药性癫痫:我们如何进行手术治疗?
Br J Neurosurg. 2023 Oct;37(5):1124-1130. doi: 10.1080/02688697.2022.2039374. Epub 2022 Feb 17.
8
Lamotrigine add-on therapy for drug-resistant focal epilepsy.拉莫三嗪附加疗法治疗耐药性局灶性癫痫。
Cochrane Database Syst Rev. 2020 Mar 20;3(3):CD001909. doi: 10.1002/14651858.CD001909.pub3.
9
Deciphering the surgical treatment gap for drug-resistant epilepsy (DRE): A literature review.解读耐药性癫痫(DRE)的手术治疗差距:文献综述。
Epilepsia. 2020 Jul;61(7):1352-1364. doi: 10.1111/epi.16572. Epub 2020 Jun 19.
10
Paediatric epilepsy surgery: Techniques and outcomes.儿科癫痫手术:技术与结果。
J Paediatr Child Health. 2022 Nov;58(11):1952-1957. doi: 10.1111/jpc.16236. Epub 2022 Oct 5.

引用本文的文献

1
Redefining the practical roles of psychiatrists in epilepsy care: A framework for collaboration in Japan.重新定义精神科医生在癫痫护理中的实际作用:日本的合作框架。
PCN Rep. 2025 Aug 14;4(3):e70188. doi: 10.1002/pcn5.70188. eCollection 2025 Sep.
2
Anti-seizure effects of WS-3, a TRPM8 agonist, on focal onset seizure mouse model via reduction of extracellular glutamate levels.TRPM8激动剂WS-3通过降低细胞外谷氨酸水平对局灶性发作小鼠模型的抗癫痫作用。
Neuropsychopharmacology. 2025 Jun 26. doi: 10.1038/s41386-025-02143-x.
3
Neuroinflammation leads to pharmacoresistance in temporal lobe epilepsy via promoting spermine degradation.神经炎症通过促进精胺降解导致颞叶癫痫的药物抵抗。
Acta Pharmacol Sin. 2025 Jun 17. doi: 10.1038/s41401-025-01594-8.
4
Alterations in Cortical Microstructure, Morphology, and Intrinsic Local Function in Spiking Tissue in Patients With Focal Epilepsy.局灶性癫痫患者发作性组织中皮质微结构、形态及内在局部功能的改变
Neurology. 2025 Jun 24;104(12):e213733. doi: 10.1212/WNL.0000000000213733. Epub 2025 Jun 3.
5
Non-Invasive Localization of Epileptogenic Zone in Drug-Resistant Epilepsy Based on Time-Frequency Analysis and VGG Convolutional Neural Network.基于时频分析和VGG卷积神经网络的耐药性癫痫致痫区无创定位
Bioengineering (Basel). 2025 Apr 23;12(5):443. doi: 10.3390/bioengineering12050443.
6
Analysis of Epilepsy Treatment Strategies Based on an Astrocyte-Neuron-Coupled Network Model.基于星形胶质细胞-神经元耦合网络模型的癫痫治疗策略分析
Brain Sci. 2025 Apr 27;15(5):465. doi: 10.3390/brainsci15050465.
7
A review of cell-type specific circuit mechanisms underlying epilepsy.癫痫潜在的细胞类型特异性电路机制综述。
Acta Epileptol. 2024 Jun 1;6(1):18. doi: 10.1186/s42494-024-00159-2.
8
Functional MRI study of neurovascular coupling in patients with non-lesional epilepsy.非病灶性癫痫患者神经血管耦合的功能磁共振成像研究
Front Hum Neurosci. 2025 Jan 22;18:1517565. doi: 10.3389/fnhum.2024.1517565. eCollection 2024.
9
Head-to-Head comparison of [F]FDG, [F]FMZ, and [F]SynVesT-1 positron emission tomography imaging in patients with drug-resistant epilepsy.[F]FDG、[F]FMZ和[F]SynVesT-1正电子发射断层扫描成像在耐药性癫痫患者中的头对头比较。
Eur J Nucl Med Mol Imaging. 2025 Jan 31. doi: 10.1007/s00259-025-07111-7.
10
Prediction of Pharmacoresistance in Drug-Naïve Temporal Lobe Epilepsy Using Ictal EEGs Based on Convolutional Neural Network.基于卷积神经网络利用发作期脑电图预测初治颞叶癫痫的药物耐药性
Neurosci Bull. 2025 May;41(5):790-804. doi: 10.1007/s12264-025-01350-2. Epub 2025 Jan 27.

本文引用的文献

1
A randomized controlled trial of the ketogenic diet in refractory childhood epilepsy.生酮饮食治疗儿童难治性癫痫的随机对照试验。
Acta Neurol Scand. 2017 Jun;135(6):678. doi: 10.1111/ane.12737.
2
Mesial Extratemporal Lobe Epilepsy: Clinical Features and Surgical Strategies.
Neurosurgery. 2017 Feb 1;80(2):269-278. doi: 10.1227/NEU.0000000000001230.
3
Vagus nerve stimulation in drug-resistant epilepsy: the efficacy and adverse effects in a 5-year follow-up study in Iran.迷走神经刺激术治疗耐药性癫痫:伊朗一项5年随访研究中的疗效与不良反应
Neurol Sci. 2016 Nov;37(11):1773-1778. doi: 10.1007/s10072-016-2661-3. Epub 2016 Jul 11.
4
Estimation of brain network ictogenicity predicts outcome from epilepsy surgery.脑网络致痫性评估可预测癫痫手术的结果。
Sci Rep. 2016 Jul 7;6:29215. doi: 10.1038/srep29215.
5
Vision after trans-sylvian or temporobasal selective amygdalohippocampectomy: a prospective randomised trial.经外侧裂或颞底选择性杏仁核海马切除术术后视力:一项前瞻性随机试验
Acta Neurochir (Wien). 2016 Sep;158(9):1757-65. doi: 10.1007/s00701-016-2860-y. Epub 2016 Jun 6.
6
Gap Junction Blockers: An Overview of their Effects on Induced Seizures in Animal Models.缝隙连接阻滞剂:其对动物模型中诱发性癫痫发作影响的概述
Curr Neuropharmacol. 2016;14(7):759-71. doi: 10.2174/1570159x14666160603115942.
7
Corpus callosotomy outcomes in pediatric patients: A systematic review.小儿患者胼胝体切开术的疗效:一项系统评价。
Epilepsia. 2016 Jul;57(7):1053-68. doi: 10.1111/epi.13408. Epub 2016 May 29.
8
Seizure outcomes in nonresective epilepsy surgery: an update.非切除性癫痫手术的发作结果:最新进展
Neurosurg Rev. 2017 Apr;40(2):181-194. doi: 10.1007/s10143-016-0725-8. Epub 2016 May 21.
9
Transcutaneous Vagus Nerve Stimulation (tVNS) for Treatment of Drug-Resistant Epilepsy: A Randomized, Double-Blind Clinical Trial (cMPsE02).经皮迷走神经刺激(tVNS)治疗耐药性癫痫的随机、双盲临床试验(cMPsE02)。
Brain Stimul. 2016 May-Jun;9(3):356-363. doi: 10.1016/j.brs.2015.11.003. Epub 2016 Jan 20.
10
Metabotropic Glutamate Receptors and Interacting Proteins in Epileptogenesis.代谢型谷氨酸受体及其相互作用蛋白在癫痫发生中的作用
Curr Neuropharmacol. 2016;14(5):551-62. doi: 10.2174/1570159x14666160331142228.