Marín-Romero B, Tirapu-Ustárroz J, Chiofalo M F
Hospital Universitario Virgen de las Nieves, Granada, España.
Fundación Argibide, Pamplona, España.
Rev Neurol. 2020 May 1;70(9):341-347. doi: 10.33588/rn.7009.2019441.
Refractory epilepsy means that the seizures are untreatable, and therefore one of the interventions that makes it possible to eliminate them or to accomplish a reduction in the number of seizures is neurosurgery.
A neuropsychological evaluation model aimed at measuring the cognitive performance of adult patients who are candidates for epilepsy surgery is proposed. In line with the proposals most frequently put forward by the various reference centres for epilepsy, an open protocol is proposed that is aimed at obtaining a baseline of overall cognitive performance, cognitive reserve and manual dominance, as well as cognitive processes such as attention, language, visuoconstructive and manipulative skills, memory and executive functions, among others, without neglecting the psychopathological examination and the patient's quality of life. This, together with the results of other diagnostic specialities, will contribute to the localisation and minimisation of the cognitive sequelae secondary to the surgical intervention on the epileptic focus, as well as to providing information to the medical team responsible for the case and to patients and relatives about the possibilities and prognosis of the intervention. It is necessary to have a battery of techniques and an adequate consensus when evaluating the data obtained.
An assessment model is proposed that allows information to be obtained about the neuropsychological profile of the candidate for epilepsy surgery, which is open to debate and serves as a model for discussion by the other epilepsy reference centres.
难治性癫痫意味着癫痫发作无法治疗，因此，神经外科手术是能够消除癫痫发作或减少发作次数的干预措施之一。
提出了一种神经心理学评估模型，旨在测量成年癫痫手术候选患者的认知表现。根据各癫痫参考中心最常提出的建议，提出了一个开放方案，旨在获得整体认知表现、认知储备和利手优势的基线，以及注意力、语言、视觉构建和操作技能、记忆和执行功能等认知过程的基线，同时不忽视心理病理学检查和患者的生活质量。这与其他诊断专科的结果一起，将有助于确定癫痫病灶手术干预继发的认知后遗症的定位并将其最小化，同时也能为负责该病例的医疗团队以及患者和亲属提供有关干预可能性和预后的信息。在评估所获得的数据时，需要一套技术手段和充分的共识。
提出了一种评估模型，该模型能够获取癫痫手术候选者的神经心理学概况信息，此模型有待讨论，可作为其他癫痫参考中心讨论的范例。
