岛内:功能,诊断方法和手术干预
Felix R Ekman1, Jorge A González-Martínez2
1Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy at Gothenburg University, 41390 Gothenburg, Sweden.
Journal of integrative neuroscience
|November 29, 2024
概括
耐药性 (DRE) 的治疗具有挑战性. 岛内的诊断和治疗是复杂的,但先进的成像,SEEG,手术和LITT等微创技术提供了新的希望.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
背景情况:
- 影响全球许多人,耐药性 (DRE) 带来了重大治疗挑战.
- 岛内,起源于复杂的大脑区域,呈现出各种症状使诊断复杂化.
研究的目的:
- 审查岛内的诊断和治疗策略,特别是DRE.
- 为了突出神经成像和手术干预方面的进步.
主要方法:
- 复习先进的成像模式用于发性区域定位.
- 讨论立体电脑图 (SEEG) 的精确定位.
- 对手术切除和微创手术的分析.
主要成果:
- 精确地定位发性区域对于有效治疗至关重要.
- 通过微手术技术和神经影像增强的手术切除,改善了DRE的结果.
- 像激光间歇性热疗法 (LITT) 和射频热凝固 (RFTC) 这样的最小侵入性选择是有前途的.
结论:
- 岛内的管理需要一个多学科的方法.
- 局部化和治疗方面的进展为DRE患者提供了改善的预后.
- 最少侵入性疗法代表了对精选的DRE病例有价值的替代方案.
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