Evidence based noninvasive presurgical evaluation for patients with drug resistant epilepsies

被引：4
作者：
Trinka, Eugen [1 ,2 ,3 ,4 ]
Koepp, Matthias [5 ,6 ]
Kalss, Gudrun [1 ,2 ]
Kobulashvili, Teia [1 ,2 ]
机构：
[1] Christian Doppler Univ Hosp, Paracelsus Med Univ, Ctr Cognit Neurosci, Dept Neurol Neurocrit Care & Neurorehabil,EpiCARE, Ignaz Harrer Str, A-5020 Salzburg, Austria
[2] Paracelsus Med Univ, Christian Doppler Univ Hosp, Neurosci Inst, Ctr Cognit Neurosci, Salzburg, Austria
[3] UMIT Private Univ Hlth Sci Med Informat & Technol, Inst Publ Hlth Med Decis Making & HTA, Hall In Tirol, Austria
[4] Karl Landsteiner Inst Neurorehabil & Space Neurol, Salzburg, Austria
[5] UCL Queen Sq Inst Neurol, London, England
[6] Natl Hosp Neurol & Neurosurg, London, England
来源：
CURRENT OPINION IN NEUROLOGY | 2024年 / 37卷 / 02期
基金：
英国惠康基金; 英国医学研究理事会;
关键词：
epilepsy; epilepsy monitoring video EEG; epilepsy surgery; presurgical evaluation; TEMPORAL-LOBE EPILEPSY; SOURCE LOCALIZATION; QUALITY GUIDELINES; SURGICAL-TREATMENT; CLINICAL-PRACTICE; MONITORING UNITS; SURGERY CENTERS; WORKING GROUP; COMFORT; PET;
D O I：
10.1097/WCO.0000000000001253
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Purpose of reviewTo review the current practices and evidence for the diagnostic accuracy and the benefits of presurgical evaluation.Recent findingsPreoperative 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.SummaryPresurgical 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.
引用
收藏
页码：141 / 151
页数：11
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