Polkey C E
J R Soc Med. 1981 Aug;74(8):574-9. doi: 10.1177/014107688107400804.
Selection criteria are the key to success in resective surgery for intractable epilepsy. Using such criteria about 50% of patients admitted for assessment are considered unsuitable, half of these for neurophysiological reasons or because there is evidence of more than one area of structural abnormality. Selection for a good result from temporal lobectomy can be judged, both on the proportion of positive pathological lesions in the resected temporal lobes and on a high degree of seizure relief together with a low incidence of side effects. The same holds for other resections. The relationship between these factors is reviewed.
选择标准是难治性癫痫切除性手术成功的关键。根据这些标准，约50%入院评估的患者被认为不适合手术，其中一半是由于神经生理学原因或存在不止一个结构异常区域的证据。颞叶切除术能否取得良好效果，可以根据切除的颞叶中阳性病理病变的比例、癫痫发作缓解程度高以及副作用发生率低来判断。其他切除术也是如此。本文综述了这些因素之间的关系。
