微创小儿癫痫手术简介

IF 0.2 Q4 PEDIATRICS
J. Riviello, D. Curry, H. Weiner
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引用次数: 0

摘要

微创外科领域在过去的50年里不断发展,包括神经外科,在可行的情况下演变为“微创神经外科”。癫痫手术也遵循这一趋势,从标准的神经外科技术过渡到神经外科介入的所有阶段的微创技术。这些包括诊断性颅内脑电图与硬脑膜下探查到立体脑电图,从开颅术到破坏性较小的技术的实际切除,或多种形式的神经调节而不是破坏性手术。这些微创技术的影响导致了儿童癫痫手术的整体理念的变化。对“成功”的癫痫手术的期望已经从完全控制癫痫发作,换句话说,“治愈”,转变为减少目标癫痫发作的姑息性癫痫手术,特别是“致残癫痫发作”。这使得癫痫手术得到了更广泛的接受。本文总结了小儿癫痫微创手术爆发背后的主要原因,并在后续文章中加以放大。本章的部分内容包括作者的观点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Introduction to Minimally Invasive Pediatric Epilepsy Surgery
Abstract The field of minimally invasive surgery has evolved over the past 50 years, including neurosurgery, with an evolution to “minimally invasive neurosurgery” when feasible. Epilepsy surgery has followed this trend, with a transition from standard neurosurgical techniques to minimally invasive techniques in all phases of neurosurgical involvement. These include the diagnostic intracranial electroencephalogram with a subdural exploration to stereoelectroencephalography, the actual resection from an open craniotomy to a less destructive technique, or the multiple modalities of neuromodulation instead of a destructive surgery. The influence of these minimally invasive techniques has resulted in a change in the overall philosophy of pediatric epilepsy surgery. The expectations of what is considered “successful” epilepsy surgery has changed from total seizure control, in other words, a “cure,” to palliative epilepsy surgery with a decrease in the targeted seizures, especially “disabling seizures.” This has led to an overall greater acceptance of epilepsy surgery. This article summarizes the major reasons behind the explosion of minimally invasive pediatric epilepsy surgery, which are amplified in the subsequent articles. Some of this chapter includes the authors' opinions.
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来源期刊
自引率
0.00%
发文量
21
期刊介绍: The Journal of Pediatric Epilepsy is an English multidisciplinary peer-reviewed international journal publishing articles on all topics related to epilepsy and seizure disorders, epilepsy surgery, neurology, neurosurgery, and neuropsychology in childhood. These topics include the basic sciences related to the condition itself, the differential diagnosis, natural history, and epidemiology of seizures, and the investigation and practical management of epilepsy (including drug treatment, neurosurgery and non-medical and behavioral treatments). Use of model organisms and in vitro techniques relevant to epilepsy are also acceptable. Journal of Pediatric Epilepsy provides an in-depth update on new subjects and current comprehensive coverage of the latest techniques used in the diagnosis and treatment of childhood epilepsy.
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