A pediatrician's guide to epilepsy surgery

Ania Dabrowski MD, PhD, Caren Armstrong MD, PhD
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Abstract

Surgical intervention for epilepsy emerged in the second half of the 20th century as an important option for pediatric patients with medically refractory epilepsy. Both the number of patients undergoing epilepsy surgery and the available surgical procedures for epilepsy have expanded in the last 3 decades, and now range from surgical resection to neuromodulatory device placement1,2 Studies showing that many patients who would be excellent candidates for surgery are still not being offered appropriate interventions have prompted an interest in ensuring that all providers who see patients with epilepsy are aware of the options for epilepsy surgery to facilitate earlier referrals when medications have not been effective3 In this article, we will introduce the pediatrician to the process involved in determining epilepsy surgery candidacy and to surgical outcomes, with the goal of empowering pediatric providers to refer their medically refractory epilepsy patients to a pediatric epilepsy center.

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儿科医生的癫痫手术指南。
癫痫手术治疗兴起于 20 世纪下半叶,是药物难治性癫痫小儿患者的重要选择。在过去 30 年里,接受癫痫外科手术的患者人数和可用的癫痫外科手术程序都在不断扩大,现在的手术范围从外科切除术到神经调节装置置入术1,2。研究显示,许多非常适合接受外科手术的患者仍然没有得到适当的干预,这促使人们希望确保所有为癫痫患者看病的医疗服务提供者都了解癫痫外科手术的选择,以便在药物治疗无效时尽早转诊3、在本文中,我们将向儿科医生介绍确定癫痫手术候选资格所涉及的过程以及手术结果,目的是让儿科医疗服务提供者有能力将他们的药物难治性癫痫患者转介到儿科癫痫中心。
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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
61
审稿时长
5 days
期刊介绍: Recognized for its probing, comprehensive, and evidence-based reviews, Current Problems in Pediatric and Adolescent Health Care devotes each issue to a timely and practical topic in pediatric medicine, presented by leading authorities in the field. The journal offers readers easily accessible information that enhances professional experience and is pertinent to daily pediatric practice. Each issue''s review article is accompanied by an additional special feature designed to highlight a particular aspect of the topic presented.
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