Selection criteria and preoperative investigation of patients with focal epilepsy who lack a localized structural lesion.

Selection criteria and preoperative investigation of patients with focal epilepsy who lack a localized structural lesion.
复制标题

缺乏局部结构性病变的局灶性癫痫患者的选择标准和术前调查。

DOI:
10.1684/j.1950-6945.2000.tb00447.x
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发表时间:
2000
期刊:
Epileptic disorders : international epilepsy journal with videotape
影响因子:
--
通讯作者:
Susan Koh
Susan Koh
中科院分区:
--
文献类型:
--
作者:
Michael Duchowny;P. Jayakar;Susan Koh

文献摘要

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Children with medically resistant epilepsy are often referred for surgical evaluation. The absence of a specific focal lesion on MRI may render the work-up difficult. In response to the need to localize the primary area of epileptogenesis, surgery protocols are being developed which rely on clinical semiology, EEG and functional imaging data. In selected cases, intracranial EEG monitoring may be required. While testing more often depends on the convergence of modalities, it is possible to localize seizure origin in the majority of children, and fully excise the epileptogenic region. This review presents the etiology and preoperative modalities available for children with intractable, non-lesional epilepsy.