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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 common childhood chronic neurological diseases, including drug refractory epilepsy accounted for about 20%. Epilepsy surgery is one of the most effective means of treatment of refractory epilepsy. Although there are many similarities with adult epilepsy surgery, epilepsy surgery in children has obvious differences in etiology, imaging, electro-clinical features and surgical methods. These differences are important in all stages of the preoperative assessment, especially when selecting surgical indications and timing of surgery. In addition, the discussion and decision-making of preoperative evaluation should be carried out in a mature epilepsy center for children with the participation of children’s neurology department, neurosurgery department and other department doctors.