神经影像学在致痫性病变和皮质重要功能区多模式诊断和定位中的应用  

Neuroimaging in the multimodel diagnosis and localization of epileptogenic foci and cortical functional area

作　　者：叶锦棠[1] 

机构地区：[1]北京大学第一医院医学影像科,北京100034

出　　处：《中国实用儿科杂志》2016年第1期10-13,共4页Chinese Journal of Practical Pediatrics

摘　　要：癫痫是儿童时期常见的神经系统慢性疾病,其中药物难治性癫痫约占20%。癫痫外科是治疗难治性癫痫最有效手段之一。虽然与成人癫痫外科相比有很多相似之处,但儿童癫痫外科在病因、影像学、电-临床特征和手术方式等各方面都有明显不同。这些不同点在术前评估中的各个阶段中都非常重要,特别是在选择手术适应证及手术时机时。此外,术前评估的讨论与决策应该在成熟的儿童癫痫中心,由儿童神经内科、神经外科及其他一些科室医生共同参与下进行。Epilepsy is a clinically common disease of chronic nervous system in children, and refractory epilepsy accounts for 20% or so. Epilepsy surgery is the most effective treatment for refractory epilepsy. Children＇ s epilepsy has many similar characteristics with adults＇ epilepsy. But children＇ s epilepsy has obvious differences in etiology, imageology, electro-clini- cal characteristics and surgical methods, which is very important for the preoperative evaluation, especially for the surgical indication and timing. The discussion and decision should be made by the doctors of neurology, neurosurgery and other departments in the mature children＇ s epilepsy center.

关 键 词：癫痫 神经影像学 多模式诊断 

分 类 号：R72[医药卫生—儿科]