Dulac O, Delalande O, Pinard J M, Jalin C, Plouin P, Jambaqué I, Chiron C, Cieuta C
Service de neuropédiatrie, université René-Descartes, Paris, France.
Arch Pediatr. 1996 Apr;3(4):369-77. doi: 10.1016/0929-693x(96)84694-x.
Neurosurgery of epilepsy in children has undergone rapid development during the past decade. This was justified by the high incidence of intractable epilepsy and its consequences on cognitive development. Any decision in the area of surgery must take in account specific etiology and the rapid maturation of the infant's brain. As in adulthood, both the epileptogenic and the functional zones must be identified, but this is a challenge when the brain is not mature and the functions not yet developed. In addition, the ability to recover must be determined. At the present time no precise methodology can be advised for presurgical work-up and surgical indications.
在过去十年中，儿童癫痫神经外科取得了快速发展。难治性癫痫的高发病率及其对认知发育的影响证明了这种发展的合理性。手术领域的任何决策都必须考虑特定病因以及婴儿大脑的快速发育。与成人一样，必须识别癫痫源区和功能区，但当大脑尚未成熟且功能尚未发育时，这是一项挑战。此外，还必须确定恢复能力。目前，对于术前检查和手术指征，尚无精确的方法可供推荐。
