Risinger M W, Gumnit R J
MINCEP Epilepsy Care, Minneapolis, Minnesota, USA.
Neuroimaging Clin N Am. 1995 Nov;5(4):559-73.
The presurgical evaluation of patients with medically refractory epilepsy begins with a thorough noninvasive approach, including ictal monitoring with scalp recording technique. The concept of convergence of evidence is used to determine the adequacy of the noninvasive localization. A variety of intracranial electrophysiologic studies can be employed when the noninvasive evaluation is insufficient. Intracranial studies are used for precise identification of eloquent cortex. The ultimate lines of resection are then designed to include as much of the epileptogenic zone as possible, while excluding areas of eloquent cortical function.
对于药物难治性癫痫患者的术前评估，首先采用全面的非侵入性方法，包括使用头皮记录技术进行发作期监测。证据汇聚的概念用于确定非侵入性定位的充分性。当非侵入性评估不足时，可采用多种颅内电生理研究。颅内研究用于精确识别明确的皮质。然后设计最终的切除线，以尽可能多地包括致痫区，同时排除明确的皮质功能区。
