Melikyan A G
Burdenko Neurosurgical Center, Moscow, Russia.
Zh Vopr Neirokhir Im N N Burdenko. 2022;86(4):83-88. doi: 10.17116/neiro202286041.
The purpose of this review was to analyze the current ideas about various techniques and methods for treating epilepsy in patients with hypothalamic hamartomas including microsurgery, endoscopy, radiofrequency thermal destruction, stereotactic laser ablation and radiosurgery. Data characterizing their effectiveness, limitations and complications are considered.
When choosing the optimal treatment option, it is necessary to take into account patient age and course of disease, anatomical and topographic features of hamartoma location, previous attempts of treatment, opinion of the patient and his guardians, as well as surgical experience.
本综述的目的是分析当前关于治疗下丘脑错构瘤患者癫痫的各种技术和方法的观点，包括显微手术、内窥镜检查、射频热凝毁损、立体定向激光消融和放射外科手术。考虑了表征其有效性、局限性和并发症的数据。
在选择最佳治疗方案时，有必要考虑患者年龄和病程、错构瘤位置的解剖和地形特征、先前的治疗尝试、患者及其监护人的意见以及手术经验。
