Which epilepsy hospital in Chongqing is effective?Which epilepsy patients can consider surgical treatment?

　　Surgical treatment is suitable for patients with epilepsy:

　　1. Drug-refractory epilepsy: This type of patients have tried more than 2-3 conventional antiepileptic drugs, and the epilepsy seizures have not been effectively controlled for more than 2-3 years.If the patient has more than once a month, surgical treatment should be considered as early as possible.

　　2. Symptom epilepsy: This type of patients can detect intracranial epilepsy lesions during imaging examinations, which may be caused by vascular diseases, tumors, etc. This type of patients is suitable for surgical treatment.

　　3. Lesion-related epilepsy: Patients with epilepsy caused by clear causes such as cerebrovascular disease, brain parasitic disease, and brain trauma also need surgical treatment.

　　4. Special types of epilepsy: including medial temporal lobe epilepsy, neocortical epilepsy, and special types of epilepsy in infants and young children, which usually require surgical treatment.

　　However, not all patients with epilepsy are suitable for surgical treatment.A rigorous preoperative evaluation must be performed before the operation to determine the feasibility of the operation and to choose an appropriate surgical procedure.

　　Importance of preoperative evaluation of epilepsy

　　Preoperative evaluation is a key step in surgical treatment of epilepsy, which determines whether to perform surgery and which method of surgery is chosen.The focus of the evaluation is to accurately locate the epileptic area and clarify its location and scope so that the epileptic area can be removed as completely as possible during the surgery while avoiding severe neurological dysfunction to achieve the expected surgical results.

　　How to perform preoperative assessment of epilepsy?

　　Preoperative evaluation is a systematic and complex process that should at least include the following:

　　- Onset Symptoms Analysis (Long-range Video EEG)

　　- Electrophysiological examination (extracranial electroencephalogram, intracranial electroencephalogram, magnetoencephalogram, etc.)

　　- Structural imaging examination ( CT、 Magnetic Resonance Scan)

　　- Functional imaging ( SPECT、PET）

　　- Neuropsychological test

　　After collecting these materials, a comprehensive analysis is required through a preoperative discussion with multidisciplinary teams to determine the surgical indications and specific surgical plans.Not all patients need to undergo all examinations, and the doctor will select appropriate examination items based on the patient's specific circumstances.

　　The role of intracranial electroencephalography in preoperative evaluation

　　Intracranial EEG is an electroencephalography technique that implants electrodes into the skull for monitoring. Compared with conventional extracranial EEG, it is an interventional, invasive examination.It is usually considered when non-interventional localization examinations cannot clarify the location and range of the epilepsy foci, or the surgical resection area may involve important brain functions.The main purpose of intracranial electroencephalography is to further clarify the location and scope of the epilepsy-induced area, as well as the relationship between the epilepsy-induced area and the brain functional area.

　　Summarize

　　Which epilepsy hospital in Chongqing is effective?For patients with epilepsy who have been treated with regular antiepileptic drugs for 1-2 years but still have difficulty in controlling the attack, surgical treatment can be considered.A rigorous preoperative evaluation must be performed before the operation to determine the feasibility of the operation and develop a surgical plan.Preoperative evaluation is a complex and systematic task involving multidisciplinary collaboration that needs to be accomplished through multiple non-invasive or invasive examinations.