在接受手术的患者中发生的非发作:来自第三级转诊中心的经验
Filiz Azman Iste1, Gokce Ayhan Arslan1, F Irsel Tezer1
1Hacettepe University Hospital, Department of Neurology, Ankara, Turkey.
Epilepsy & behavior : E&B
|July 16, 2025
概括
手术可以在患有精神性非发作 (PNES) 的患者中取得成功. 虽然手术改善了许多人的结果,但由于治疗后新发PNES的可能性,持续的心理支持至关重要.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 精神病学是一个精神病学.
背景情况:
- 同时存在的精神性非发作 (PNES) 和耐药性 (DRE) 对手术构成了挑战.
- 在患有这两种疾病的患者中,调查临床,人口和预后因素至关重要.
研究的目的:
- 评估患有同时存在PNES的患者手术的结果.
- 确定影响手术成功的因素和手术后PNES的过程.
主要方法:
- 对13名经过手术的PNES患者 (1996-2019) 的回顾性分析.
- 从医疗记录,图表和视频EEG监测中收集的数据.
- 使用恩格尔分类来评估术后结果.
主要成果:
- 1.8%的手术患者同时存在PNES.
- 90%的切除术前PNES患者实现了恩格尔I类结果.
- 在手术后的2名患者中出现了新的PNES,突出显示了持续监测的必要性.
结论:
- 手术是PNES患者的可行选择,为患者提供潜在的生活质量改善.
- 良好的外科预后可能间接有利于PNES管理.
- 手术后的心理跟踪对于管理新的PNES和确保长期成功至关重要.
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