Der Nervenarzt

, Volume 83, Issue 2, pp 209–212 | Cite as

Epilepsiechirurgie

Leitthema
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Zusammenfassung

Die chirurgische Behandlung der Epilepsien hat nicht zuletzt deshalb große klinische Bedeutung, da ein Drittel der Epilepsiepatienten auch trotz neu zugelassener Antiepileptika nicht anfallsfrei wird. Temporallappenteilresektionen sind die häufigsten Eingriffe. Extratemporale Resektionen erfordern aufwendigere Diagnostik und oft invasive Maßnahmen. Erfreulicherweise ist dies für die meisten temporalen Eingriffe durch verbesserte bildgebende Diagnostik (MRT, PET, SPECT) nicht mehr erforderlich. Mit der elektrischen Thalamusstimulation steht seit letztem Jahr ein neues Verfahren zur Verfügung.

Schlüsselwörter

Epilepsie Chirurgische Maßnahmen Thalamusstimulation Kallosotomie Vagusnervstimulation 

Epilepsy surgery

Summary

Epilepsy surgery is an important therapeutic option for patients with epilepsy since one third of all epilepsy patients will still not be become seizure free despite newly developed antiepileptic drugs. Anterior temporal lobe resection is the most common procedure. Extratemporal resections require more complex diagnostics and often invasive evaluation which is not the case in most temporal epilepsy patients due to improved imaging (MRI, PET, SPECT). Electrical stimulation of the anterior thalamus has been available as a treatment option since last year.

Keywords

Epilepsy Surgical Procedures Thalamic stimulation Callosotomy Vagus nerve stimulation 

Notes

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  1. 1.Neurologische Klinik und PoliklinikKlinikum der Universität München-GroßhadernMünchenDeutschland

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