国际抗癫痫联盟诊断方法委员会儿科手术治疗协作组报告——诊断性检查在可外科治疗的儿童癫痫中的应用_Journal of Epilepsy

Authors：

 郭佳南 ,  安东梅

四川大学华西医院神经内科(成都, 610041);

Corresponding author：

安东梅, Email: andongmei2010@gmail.com

Keywords：

儿童; 癫痫手术; 脑电图; 核磁共振成像; 正电子发射计算机断层扫描

DOI：

10.7507/2096-0247.20150026

Video：

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Abstract Full text Figures/Tables Video References Cited by

对于经过严格筛选的儿童耐药性局灶性癫痫病例, 外科手术是取得无痫性发作的成功手段。医学技术的发展使癫痫患者可以获得更精准的术前评估, 同时患者获得癫痫外科手术治疗的机会也有所增加。如今已在临床应用的癫痫灶评估方法不仅耗费资源而且在特定病例中不起作用, 抑或是副作用大。因此有必要及时制定标准化的术前评估流程。各项检查在特定临床病理类型的病例中的作用尚缺乏1级或2级证据支持。基于这一现状, 国际抗癫痫联盟(ILAE)的诊断与儿科学组的儿童癫痫外科协作组将各成员间的共识总结为专家建议发表。旨在减少将各项检查的利用不足, 同时促进临床更灵活地运用各项检查, 使现有的儿童癫痫中心尽可能标准化地进行癫痫的术前评估。

Citation： 郭佳南, 安东梅. 国际抗癫痫联盟诊断方法委员会儿科手术治疗协作组报告——诊断性检查在可外科治疗的儿童癫痫中的应用. Journal of Epilepsy, 2015, 1(2): 161-172. doi: 10.7507/2096-0247.20150026 Copy

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3.	Ramon C, Holmes MD. Noninvasive epileptic seizure localization from stochastic behavior of short duration interictal high density scalp EEG data. Brain Topogr, 2012, 25(11):106-115.
4.	Chang V, Edwards J, Sagher O. False lateralization of electrographic onset in the setting of cerebral atrophy. J Clin Neurophysiol, 2007, 24(12):438-443.
5.	Sammaritano M, de Lotbiniere A, Andermann F, et al. False lateralization by surface EEG of seizure onset in patients with temporallobe epilepsy and gross focal cerebral lesions. Ann Neurol, 1987, 21(2):361-369.
6.	Fish DR, Spencer SS. Clinical correlations:MRI and EEG. Magn Reson Imaging, 1995, 13(9):1113-1117.
7.	Mintzer S, Cendes F, Soss J, et al. Unilateral hippocampal sclerosis with contralateral temporal scalp ictal onset. Epilepsia, 2004, 45(6):792-802.
8.	Engel J Jr, Kuhl DE, Phelps ME, et al. Comparative localization of epileptic foci in partial epilepsy by PCT and EEG. Ann Neurol, 1982, 12(3):529-537.
9.	Pondal-Sordo M, Diosy D, Tellez-Zenteno JF, et al. Usefulness of intracranial EEG in the decision process for epilepsy surgery. Epilepsy Res, 2007, 74(10):176-182.
10.	Wyllie E, Lachhwani DK, Gupta A, et al. Successful surgery for epilepsy due to early brain lesions despite generalized EEG findings. Neurology, 2007, 69(12):389-397.
11.	Jayakar P, Resnick TJ, Duchowny MS, et al. Pitfalls and caveats of localizing seizure foci. J Clin Neurophysiol, 1991, 8(2):431.
12.	Altenmuller DM, Schulze-Bonhage A. Differentiating between benign and less benign:epilepsy surgery in symptomatic frontal lobe epilepsy associated with benign focal epileptiform discharges of childhood. J Child Neurol, 2007, 22(10):456-461.
13.	Peltola ME, Liukkonen E, Granstreom ML, et al. The effect of surgery in encephalopathy with electrical status epilepticus during sleep. Epilepsia, 2011, 52(8):602-609.
14.	Salamon N, Kung J, Shaw SJ, et al. FDG-PET/MRI coregistration improves detection of cortical dysplasia in patients with epilepsy. Neurology, 2008, 71(11):1594-1601.
15.	Gaillard WD, Chiron C, Cross JH, et al. Guidelines for imaging infants and children with recent-onset epilepsy. Epilepsia, 2009, 50(2):2147-2153.
16.	Craven IJ, Griffiths PD, Bhattacharyya D, et al. 3.0 T MRI of 2000 consecutive patients with localisation-related epilepsy. Br J Radiol, 2012, 32(3):1236-1242.
17.	Barkley GL, Baumgartner C. MEG and EEG in epilepsy. J Clin Neurophysiol, 2003, 20(6):163-178.
18.	Irimia A, Van Horn JD, Halgren E. Source cancellation profiles of electroencephalography and magnetoencephalography. Neuroimage, 2012, 59(10):2464-2474.
19.	Knowlton RC, Elgavish RA, Limdi N, et al. Functional imaging:relative predictive value of intracranial electroencephalography. Ann Neurol, 2008, 64(3):25-34.
20.	Koh S, Jayakar P, Resnick T, et al. The localizing value of ictal SPECT in children with tuberous sclerosis complex and refractory partial epilepsy. Epileptic Disord, 1999, 1(2):41-46.
21.	Knowlton RC. The role of FDG-PET, ictal SPECT, and MEG in the epilepsy surgery evaluation. Epilepsy Behav, 2006, 8(2):91-101.
22.	Breshears JD, Roland JL, Sharma M, et al. Stable and dynamic cortical electrophysiology of induction and emergence with propofol anesthesia. Proc Natl Acad Sci USA, 2010, 107(21):21170-21175.
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39.	Wyllie E, Naugle R, Chelune G, et al. Intracarotid amobarbital procedure:Ⅱ. Lateralizing value in evaluation for temporal lobectomy. Epilepsia, 1991, 32(3):865-869.
40.	Szabo CA, Wyllie E. Intracarotid amobarbital testing for language and memory dominance in children. Epilepsy Res, 1993, 15(6):239-246.
41.	Hinz AC, Berger MS, Ojemann GA, et al. The utility of the intracarotid amytal procedure in determining hemispheric speech lateralization in pediatric epilepsy patients undergoing surgery. Childs Nerv Syst, 1994, 10(4):239-243.
42.	Lee GP, Westerveld M, Blackburn LB. Prediction of verbal memory decline after epilepsy surgery in children:effectiveness of Wada memory asymmetries. Epilepsia, 2005, 46(6):97-103.
43.	Jayakar P, Resnick TJ, Duchowny MS, et al. A safe and effective paradigm to functionally map the cortex in childhood. J Clin Neurophysio, 1992, 9(7):288-293.
44.	Smith ML, Kelly K, Kadis DS, et al. Self-reported symptoms of psychological well-being in young adults who underwent respective epilepsy surgery in childhood. Epilepsia, 2011, 52(7):891-899.
45.	Smith ML, Lah S, Elliott I. Pediatric epilepsy surgery:neuropsychological outcomes and measurement issues//Helmstaedter C, Hermann B, Lassonde M, ed. Neuropsychology in the care of people with epilepsy. Paris:John Libbey Text, 2011:239-250.
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48.	Taylor DC, McMacKin D, Staunton H, et al. Patients' aims for epilepsy surgery:desires beyond seizure freedom. Epilepsia, 2001, 42(9):629-633.
49.	Giulioni M, Rubboli G, Marucci G, et al. Seizure outcome of epilepsy surgery in focal epilepsies associated with temporomesial glioneuronal tumors:lesionectomy compared with tailored resection. J Neurosurg, 2009, 111(12):1275-1282.
50.	Englot DJ, Berger MS, Barbaro NM, et al. Factors associated with seizure freedom in the surgical resection of glioneuronal tumors. Epilepsia, 2012, 53(9):51-57.
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1. Cross JH, Jayakar P, Nordli D, et al. Proposed criteria for referral and evaluation of children with epilepsy for surgery. Epilepsia, 2006, 47(3):952-959.
2. Gaillard WD, Cross JH, Duncan JS, et al. Epilepsy imaging study guideline criteria:commentary on diagnostic testing study guidelines and practice parameters. Epilepsia, 2011, 52(4):1750-1756.
3. Ramon C, Holmes MD. Noninvasive epileptic seizure localization from stochastic behavior of short duration interictal high density scalp EEG data. Brain Topogr, 2012, 25(11):106-115.
4. Chang V, Edwards J, Sagher O. False lateralization of electrographic onset in the setting of cerebral atrophy. J Clin Neurophysiol, 2007, 24(12):438-443.
5. Sammaritano M, de Lotbiniere A, Andermann F, et al. False lateralization by surface EEG of seizure onset in patients with temporallobe epilepsy and gross focal cerebral lesions. Ann Neurol, 1987, 21(2):361-369.
6. Fish DR, Spencer SS. Clinical correlations:MRI and EEG. Magn Reson Imaging, 1995, 13(9):1113-1117.
7. Mintzer S, Cendes F, Soss J, et al. Unilateral hippocampal sclerosis with contralateral temporal scalp ictal onset. Epilepsia, 2004, 45(6):792-802.
8. Engel J Jr, Kuhl DE, Phelps ME, et al. Comparative localization of epileptic foci in partial epilepsy by PCT and EEG. Ann Neurol, 1982, 12(3):529-537.
9. Pondal-Sordo M, Diosy D, Tellez-Zenteno JF, et al. Usefulness of intracranial EEG in the decision process for epilepsy surgery. Epilepsy Res, 2007, 74(10):176-182.
10. Wyllie E, Lachhwani DK, Gupta A, et al. Successful surgery for epilepsy due to early brain lesions despite generalized EEG findings. Neurology, 2007, 69(12):389-397.
11. Jayakar P, Resnick TJ, Duchowny MS, et al. Pitfalls and caveats of localizing seizure foci. J Clin Neurophysiol, 1991, 8(2):431.
12. Altenmuller DM, Schulze-Bonhage A. Differentiating between benign and less benign:epilepsy surgery in symptomatic frontal lobe epilepsy associated with benign focal epileptiform discharges of childhood. J Child Neurol, 2007, 22(10):456-461.
13. Peltola ME, Liukkonen E, Granstreom ML, et al. The effect of surgery in encephalopathy with electrical status epilepticus during sleep. Epilepsia, 2011, 52(8):602-609.
14. Salamon N, Kung J, Shaw SJ, et al. FDG-PET/MRI coregistration improves detection of cortical dysplasia in patients with epilepsy. Neurology, 2008, 71(11):1594-1601.
15. Gaillard WD, Chiron C, Cross JH, et al. Guidelines for imaging infants and children with recent-onset epilepsy. Epilepsia, 2009, 50(2):2147-2153.
16. Craven IJ, Griffiths PD, Bhattacharyya D, et al. 3.0 T MRI of 2000 consecutive patients with localisation-related epilepsy. Br J Radiol, 2012, 32(3):1236-1242.
17. Barkley GL, Baumgartner C. MEG and EEG in epilepsy. J Clin Neurophysiol, 2003, 20(6):163-178.
18. Irimia A, Van Horn JD, Halgren E. Source cancellation profiles of electroencephalography and magnetoencephalography. Neuroimage, 2012, 59(10):2464-2474.
19. Knowlton RC, Elgavish RA, Limdi N, et al. Functional imaging:relative predictive value of intracranial electroencephalography. Ann Neurol, 2008, 64(3):25-34.
20. Koh S, Jayakar P, Resnick T, et al. The localizing value of ictal SPECT in children with tuberous sclerosis complex and refractory partial epilepsy. Epileptic Disord, 1999, 1(2):41-46.
21. Knowlton RC. The role of FDG-PET, ictal SPECT, and MEG in the epilepsy surgery evaluation. Epilepsy Behav, 2006, 8(2):91-101.
22. Breshears JD, Roland JL, Sharma M, et al. Stable and dynamic cortical electrophysiology of induction and emergence with propofol anesthesia. Proc Natl Acad Sci USA, 2010, 107(21):21170-21175.
23. Fukui K, Morioka T, Hashiguchi K, et al. Relationship between regional cerebral blood flow and electrocorticographic activities under sevoflurane and isoflurane anesthesia. J Clin Neurophysiol, 2010, 27(9):110-115.
24. Chang EF, Christie C, Sullivan JE, et al. Seizure control outcomes after resection of dysembryoplastic neuro-epithelial tumor in 50 patients. J Neurosurg Pediatr, 2010, 5(2):123-130.
25. Ogiwara H, Nordli DR, DiPatri AJ, et al. Pediatric epileptogenic gangliogliomas:seizure outcome and surgical results. J Neurosurg Pediatr, 2010, 5(3):271-276.
26. Tripathi M, Garg A, Gaikwad S, et al. Intra-operative electrocorticography in lesional epilepsy. Epilepsy Res, 2010, 89(10):133-141.
27. Gelinas JN, Battison AW, Smith S, et al. Electrocorticography and seizure outcomes in children with lesional epilepsy. Childs Nerv Syst, 2011, 27(12):381-390.
28. Palmini A, Gambardella A, Andermann F, et al. Intrinsic epileptogenicity of human dysplastic cortex as suggested by corticography and surgical results. Ann Neurol, 1995, 37(8):476-487.
29. Bulacio JC, Jehi L, Wong C, et al. Long-term seizure outcome after resective surgery in patients evaluated with intracranial electrodes. Epilepsia, 2012, 53(4):1722-1730.
30. Wellmer J, von der Groeben F, Klarmann U, et al. Risks and benefits of invasive epilepsy surgery workup with implanted subdural and depth electrodes. Epilepsia, 2012, 53(6):1322-1332.
31. Arya R, Mangano FT, Horn PS, et al. Adverse events related to extra operative invasive EEG monitoring with subdural grid electrodes:a systematic review and meta-analysis. Epilepsia, 2013, 54(2):828-839.
32. Pestana Knight EM, Loddenkemper T, Lachhwani D, et al. Outcome of no resection after long-term subdural electroencephalography evaluation in children with epilepsy. J Neurosurg Pediatr, 2011, 8(5):269-278.
33. Ito M, Lammertsma AA, Wise RJ, et al. Measurement of regional cerebral blood flow and oxygen utilization in patients with cerebral tumors using 150 and positron emission tomography:analytical techniques and preliminary results. Neuroradiology, 1982, 23(8):63-74.
34. Schlosser MJ, McCarthy G, Fulbright RK, et al. Cerebral vascular malformations adjacent to sensorimotor and visual cortex. Functional magnetic resonance imaging studies before and after therapeutic intervention. Stroke, 1997, 28(11):1130-1137.
35. Westerveld M, Stoddard KR, Spencer DD, et al. Case report of false lateralization using fMRI:comparison of MRI language localization, Wada testing, and cortical stimulation. Arch Clin Neuropsychol, 1999, 14(3):162-163.
36. Jayakar P, Bernal B, Medina LS, et al. False lateralization of language cortex on functional MRI after a cluster of focal seizures. Neurology, 2002, 58(6):490-492.
37. Ogg RJ, Laningham FH, Clarke D, et al. Passive range of motion functional magnetic resonance imaging localizing sensorimotor cortex in sedated children. J Neurosurg Pediatr, 2009, 4(3):317-322.
38. Shurtleff H, Warner M, Poliakov A, et al. Functional magnetic resonance imaging for presurgical evaluation of very young pediatric patients with epilepsy. J Neurosurg Pediatr, 2010, 5(2):500-506.
39. Wyllie E, Naugle R, Chelune G, et al. Intracarotid amobarbital procedure:Ⅱ. Lateralizing value in evaluation for temporal lobectomy. Epilepsia, 1991, 32(3):865-869.
40. Szabo CA, Wyllie E. Intracarotid amobarbital testing for language and memory dominance in children. Epilepsy Res, 1993, 15(6):239-246.
41. Hinz AC, Berger MS, Ojemann GA, et al. The utility of the intracarotid amytal procedure in determining hemispheric speech lateralization in pediatric epilepsy patients undergoing surgery. Childs Nerv Syst, 1994, 10(4):239-243.
42. Lee GP, Westerveld M, Blackburn LB. Prediction of verbal memory decline after epilepsy surgery in children:effectiveness of Wada memory asymmetries. Epilepsia, 2005, 46(6):97-103.
43. Jayakar P, Resnick TJ, Duchowny MS, et al. A safe and effective paradigm to functionally map the cortex in childhood. J Clin Neurophysio, 1992, 9(7):288-293.
44. Smith ML, Kelly K, Kadis DS, et al. Self-reported symptoms of psychological well-being in young adults who underwent respective epilepsy surgery in childhood. Epilepsia, 2011, 52(7):891-899.
45. Smith ML, Lah S, Elliott I. Pediatric epilepsy surgery:neuropsychological outcomes and measurement issues//Helmstaedter C, Hermann B, Lassonde M, ed. Neuropsychology in the care of people with epilepsy. Paris:John Libbey Text, 2011:239-250.
46. McLellan A, Davies S, Heyman I, et al. Psychopathology in children with epilepsy before and after temporal lobe resection. Dev Med Child Neurol, 2005, 47(10):666-672.
47. Colonelli MC, Cross JH, Davidson S, et al. Psychopathology in children before and after surgery for extratemporal epilepsy. Dev Med Child Neurol, 2012, 54(11):521-526.
48. Taylor DC, McMacKin D, Staunton H, et al. Patients' aims for epilepsy surgery:desires beyond seizure freedom. Epilepsia, 2001, 42(9):629-633.
49. Giulioni M, Rubboli G, Marucci G, et al. Seizure outcome of epilepsy surgery in focal epilepsies associated with temporomesial glioneuronal tumors:lesionectomy compared with tailored resection. J Neurosurg, 2009, 111(12):1275-1282.
50. Englot DJ, Berger MS, Barbaro NM, et al. Factors associated with seizure freedom in the surgical resection of glioneuronal tumors. Epilepsia, 2012, 53(9):51-57.
51. Thom M, Blumcke I, Aronica E. Long-term epilepsy-associated tumors. Brain Pathol, 2012, 22(8):350-379.
52. Krsek P, Maton B, Korman B, et al. Different features of histopathological subtypes of pediatric focal cortical dysplasia. Ann Neurol, 2008, 63(9):758-769.
53. Krsek P, Pieper T, Karlmeier A, et al. Different presurgical characteristics and seizure outcomes in children with focal cortical dysplasia type I orⅡ. Epilepsia, 2009, 50(5):125-137.
54. Lerner JT, Salamon N, Hauptman JS, et al. Assessment and surgical outcomes for mild type I and severe typeⅡcortical dysplasia:a critical review and the UCLA experience. Epilepsia, 2009, 50(8:1310-1335.
55. Tassi L, Garbelli R, Colombo N, et al. Type I focal cortical dysplasia:surgical outcome is related to histopathology. Epileptic Disord, 2010, 12(2):181-191.
56. Fontana E, Negrini F, Francione S, et al. Temporal lobe epilepsy in children:electroclinical study of 77 cases. Epilepsia, 2006, 47(Suppl 5):26-30.
57. Monge-Galindo L, Perez-Delgado R, Lopez-Pison J, et al. Mesial temporal sclerosis in paediatrics:its clinical spectrum. Our experience gained over a 19-year period. Rev Neurol, 2010, 50(4):341-348.
58. Cersosimo R, Flesler S, Bartuluchi M, et al. Mesial temporal lobe epilepsy with hippocampal sclerosis:study of 42 children. Seizure, 2011, 20(8):131-137.
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Journal of Epilepsy

国际抗癫痫联盟诊断方法委员会儿科手术治疗协作组报告——诊断性检查在可外科治疗的儿童癫痫中的应用

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