Evidence based noninvasive presurgical evaluation for patients with drug resistant epilepsies.

IF 4.1 2区医学 Q1 CLINICAL NEUROLOGY

Current Opinion in Neurology Pub Date : 2024-04-01 Epub Date: 2024-02-14 DOI:10.1097/WCO.0000000000001253

Eugen Trinka, Matthias Koepp, Gudrun Kalss, Teia Kobulashvili

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引用次数: 0

Abstract

Purpose of review: To review the current practices and evidence for the diagnostic accuracy and the benefits of presurgical evaluation.

Recent findings: Preoperative evaluation of patients with drug-resistant focal epilepsies and subsequent epilepsy surgery leads to a significant proportion of seizure-free patients. Even those who are not completely seizure free postoperatively often experience improved quality of life with better social integration. Systematic reviews and meta-analysis on the diagnostic accuracy are available for Video-electroencephalographic (EEG) monitoring, magnetic resonance imaging (MRI), electric and magnetic source imaging, and functional MRI for lateralization of language and memory. There are currently no evidence-based international guidelines for presurgical evaluation and epilepsy surgery.

Summary: Presurgical evaluation is a complex multidisciplinary and multiprofessional clinical pathway. We rely on limited consensus-based recommendations regarding the required staffing or methodological expertise in epilepsy centers.

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对耐药性癫痫患者进行循证无创手术前评估。

综述目的：回顾当前的做法和证据，以了解手术前评估的诊断准确性和益处：对耐药局灶性癫痫患者进行术前评估并随后进行癫痫手术，可使相当一部分患者摆脱癫痫发作。即使那些术后没有完全摆脱癫痫发作的患者，也往往能改善生活质量，更好地融入社会。关于视频脑电图（EEG）监测、磁共振成像（MRI）、电源和磁源成像以及语言和记忆侧化功能磁共振成像诊断准确性的系统综述和荟萃分析已经问世。摘要：手术前评估是一项复杂的多学科、多专业临床工作。对于癫痫中心所需的人员配备或方法学专业知识，我们依赖于有限的基于共识的建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Neurology 医学-临床神经学

CiteScore

8.60

自引率

0.00%

发文量

174

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Neurology is a highly regarded journal offering insightful editorials and on-the-mark invited reviews; covering key subjects such as cerebrovascular disease, developmental disorders, neuroimaging and demyelinating diseases. Published bimonthly, each issue of Current Opinion in Neurology introduces world renowned guest editors and internationally recognized academics within the neurology field, delivering a widespread selection of expert assessments on the latest developments from the most recent literature.