癫痫杂志

癫痫杂志

欧洲癫痫外科中心神经心理学评估现行标准

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文章探讨了欧洲癫痫外科中心对癫痫患者进行神经心理学评估的现行实践方式,旨在统一和建立共同标准。26 个癫痫中心和“E-PILEPSY”(耐药性癫痫和癫痫手术的欧洲试点网络)的成员需要通过两种不同的调查报告其成人和儿童癫痫患者的神经心理学评估状况。这些中心就神经心理学评估在术前检查中的地位达成了共识。各个中心在适应证(定位、癫痫功能障碍、药物不良反应和术后监测)和需要评估的领域(记忆、注意力、执行功能、语言、视觉空间功能、智力、抑郁、焦虑和生活质量)方面达成了强有力的一致意见。虽然这些欧洲中心使用 186 种不同的测试,但可以总结出能反映中等水平一致性的核心测试组合。各中心在评估语言优势半球的适应证、方案和模型方面存在差异。几乎没有中心公布正在使用中的测试在癫痫患者中应用的临床有效性证据。调查的参与者认为测试的有效性、评估日常功能和加速遗忘的工具、国家规范和测试共同标准化需要进一步改善。根据目前调查,记录了各个中心在神经心理学测试的适应证和原则方面所达成的共识。尽管各中心使用的测试种类繁多,但调查表明也许能根据经验和已发表的证据选择一组核心测试组合,其目标是将这些发现与目前的系统性文献综述的结果相结合,从而推荐一种可用于欧洲癫痫手术中心的核心测试组合。

关键词: 癫痫外科; 神经心理学; 诊断; 共识; 欧洲

引用本文: Viola LaraVogt, Antonio delBarrio, PaulBoon, 张颖颖 译, 高慧 慕洁 审. 欧洲癫痫外科中心神经心理学评估现行标准. 癫痫杂志, 2019, 5(1): 57-69. doi: 10.7507/2096-0247.20190011 复制

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