Lynch B J, Crumrine P K
Department of Neurology, University of Pittsburgh, Pennsylvania, USA.
Neurosurg Clin N Am. 1995 Jul;6(3):581-7.
Medical management of the post-epilepsy surgery patient depends on careful preoperative consideration of that patient's medical, social, cognitive, and emotional status. Outcome expectations should be realistic. Families should be warned that existing cognitive and psychobehavioral problems may not be following surgery, even if seizures are well controlled. As criteria for surgery and surgical techniques continue to evolve, epilepsy centers have an ongoing responsibility to provide objective assessment of outcome. Prospective multicenter studies are required to address these issues adequately.
癫痫手术后患者的医疗管理取决于术前对患者的医学、社会、认知和情感状况进行仔细考量。对治疗结果的期望应切合实际。应告知家属，即使癫痫发作得到良好控制，现有的认知和心理行为问题在手术后可能依然存在。随着手术标准和手术技术不断发展，癫痫中心有持续的责任对治疗结果提供客观评估。需要开展前瞻性多中心研究以充分解决这些问题。
