Sadanand Venkatraman
Department of Neurosurgery, Loma Linda University; Loma Linda, CA 92354, USA.
Brain Sci. 2018 Jan 28;8(2):22. doi: 10.3390/brainsci8020022.
Epilepsy is a considerable individual and social economic burden. In properly selected patients, epilepsy surgery can provide significant relief from disease, including remission. However, the surgical treatment of epilepsy lags in terms of knowledge and technology. The problem arises due to its slow adaptation and dissemination. This article explores this issue of a wide treatment gap and its causes. It develops a framework for a rational decision-making process that is appropriate for extant circumstances and will result in the speedy delivery of surgical care for suitable patients with medically intractable epilepsy.
癫痫是一项相当沉重的个人和社会经济负担。对于经过恰当挑选的患者，癫痫手术能够显著缓解病情，包括实现缓解。然而，癫痫的外科治疗在知识和技术方面滞后。该问题的出现是由于其适应和传播缓慢。本文探讨了这一广泛的治疗差距问题及其成因。它构建了一个适合现有情况的合理决策过程框架，这将为患有药物难治性癫痫的合适患者迅速提供手术治疗。
