The role of psychology and neuropsychology in pediatric epilepsy surgery evaluation

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Abstract

Epilepsy is one of the most common neurological problems affecting 470,000 children in the United States. While most youth will achieve seizure freedom using medication, up to a third will continue to have seizures and are therefore considered to have drug-resistant epilepsy (DRE). Children and adolescents with epilepsy are at higher risk of behavioral, cognitive, and emotional disorders. Youth with DRE are at even greater risk of behavioral and emotional problems impacting quality of life and may need to pursue surgical interventions, including resective surgery or device implantation. Due to advances in the evaluation of candidates and surgical options, epilepsy surgery is more effective and has become second-line treatment for youth with DRE. This paper highlights the importance of exploring, assessing, and treating psychological and neuropsychological factors throughout the three phases of the epilepsy surgery process and ways pediatricians can support youth and families.

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心理学和神经心理学在小儿癫痫手术评估中的作用。
癫痫是最常见的神经系统问题之一,影响着美国 470,000 名儿童。虽然大多数青少年可以通过药物治疗摆脱癫痫发作,但仍有多达三分之一的青少年会继续有癫痫发作,因此被认为患有耐药性癫痫 (DRE)。患有癫痫的儿童和青少年患行为、认知和情感障碍的风险更高。患有 DRE 的青少年出现行为和情绪问题的风险更大,会影响生活质量,可能需要采取外科干预措施,包括切除手术或植入装置。由于候选者评估和手术选择方面的进步,癫痫手术更加有效,已成为罹患哆嗦性癫痫的青少年的二线治疗方法。本文强调了在癫痫手术过程的三个阶段中探索、评估和治疗心理和神经心理学因素的重要性,以及儿科医生为青少年和家庭提供支持的方法。
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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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