Intracarotid amobarbital procedure for epilepsy surgery
Intracarotid amobarbital procedure for epilepsy surgery
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DOI：
10.1016/j.yebeh.2010.11.013
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发表时间：
2011-02-01
影响因子：
2.6
通讯作者：
Sperling, Michael R.
中科院分区：
文献类型：
--
作者：
Sharan, Ashwini;Ooi, Yinn Cher;Sperling, Michael R.
半个多世纪以来，颈动脉内阿莫巴比妥手术（IAP）一直被用于确定语言优势和评估前颞叶切除术后失忆症的风险。然而，由于血管造影的风险和非侵入性技术的发展，在评估癫痫手术患者时是否需要IAP现在受到质疑。本综述的目的是探讨Wada试验在癫痫手术患者术前评估中的临床适应症和疗效。本文总结了2009年美国癫痫学会（AES）年度课程中发生的一场辩论。(C) 2010爱思唯尔公司版权所有。
The intracarotid amobarbital procedure (IAP) has been used for more than half a century to determine language dominance and to assess risk for amnesia after anterior temporal lobectomy. However, because of the risk associated with angiography and the development of noninvasive techniques, the need for the IAP when evaluating patients for epilepsy surgery can now be questioned. The purpose of this review is to examine the clinical indications and efficacy of the Wada test in the preoperative evaluation of epilepsy surgery candidates. This article summarizes a debate that took place during the 2009 American Epilepsy Society (AES) annual course. (C) 2010 Elsevier Inc. All rights reserved.