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find Keyword "致痫区" 2 results
  • 2017年国际抗癫痫联盟癫痫分类评论

    文章对国际抗癫痫联盟(ILAE)2015-2017 年的癫痫、癫痫发作和癫痫持续状态分类进行评论。指出了 2017 年 ILAE 分类的 5 点不足之处,如下:① 分类将症状学的术语与致痫区术语混用;② 分类使用了繁琐且无内涵的术语取代之前简单的且已经被广泛接受的术语;③ 未详细描述癫痫发作的发展过程;④ 在四级癫痫分类中,二级(癫痫分类)与诊断(发作类型)级几乎 100% 重叠;⑤ 分类对于新生儿、成人和癫痫持续状态患者使用不同分类方法,令人感到困惑。作者仍强调验证新 ILAE 分类法的重要性,并认为《Epilepsia》决定应用唯一稿件作为 ILAE 的分类是不成熟的和令人感到遗憾的。

    Release date:2020-07-20 08:13 Export PDF Favorites Scan
  • Localization of epileptogenic zone based on reconstruction of dynamical epileptic network and virtual resection

    Drug-refractory epilepsy (DRE) may be treated by surgical intervention. Intracranial EEG has been widely used to localize the epileptogenic zone (EZ). Most studies of epileptic network focus on the features of EZ nodes, such as centrality and degrees. It is difficult to apply those features to the treatment of individual patients. In this study, we proposed a spatial neighbor expansion approach for EZ localization based on a neural computational model and epileptic network reconstruction. The virtual resection method was also used to validate the effectiveness of our approach. The electrocorticography (ECoG) data from 11 patients with DRE were analyzed in this study. Both interictal data and surgical resection regions were used. The results showed that the rate of consistency between the localized regions and the surgical resections in patients with good outcomes was higher than that in patients with poor outcomes. The average deviation distance of the localized region for patients with good outcomes and poor outcomes were 15 mm and 36 mm, respectively. Outcome prediction showed that the patients with poor outcomes could be improved when the brain regions localized by the proposed approach were treated. This study provides a quantitative analysis tool for patient-specific measures for potential surgical treatment of epilepsy.

    Release date: Export PDF Favorites Scan
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