Annals of Clinical and Experimental NeurologyAnnals of Clinical and Experimental NeurologyАнналы клинической и экспериментальной неврологии2075-54732409-2533Eco-Vector58010.25692/ACEN.2019.1.8TechnologiesТехнологииUnknownCurrent neurosurgical approaches to treatment of structural epilepsiesСовременные нейрохирургические подходы к терапии структурных эпилепсийSitnikovAndrey R.СитниковАндрей Ростиславович
Russian Federation
neuro77@gmail.comSkorobogatovaVictoria A.СкоробогатоваВиктория Анатольевна
Russian Federation
neuro77@gmail.comMaslovaNatalia N.МасловаНаталья Николаевна
Russian Federation
neuro77@gmail.comFederal Center of Treatment and RehabilitationФГАУ «Лечебно-реабилитационный центр» Минздрава РФSmolensk State Medical UniversityФГБОУ ВО «Смоленский государственный медицинский университет»15032019131707717032019Copyright ©; 2019, Sitnikov A.R., Skorobogatova V.A., Maslova N.N.Copyright ©; 2019, Sitnikov A.R., Skorobogatova V.A., Maslova N.N.2019Sitnikov A.R., Skorobogatova V.A., Maslova N.N.Sitnikov A.R., Skorobogatova V.A., Maslova N.N.https://creativecommons.org/licenses/by/4.0https://annaly-nevrologii.com/pathID/article/view/580

The drug-resistant epilepsy remains one of the major problems in contemporary neurology. However, the new surgical approaches showed their great efficacy in treatment of patients with intractable seizures. The relevant neurosurgical methods of epilepsy treatment, as well as the issues of preoperative diagnostics and indications for operative treatment are described in this review. We also present a clinical case which demonstrates the successful treatment of patient with drug-resistant epilepsy who underwent stereotaxic implantation of electrodes in the anterior thalamic nuclei followed by significant clinical improvement.

Фармакорезистентная эпилепсия по-прежнему представляет нерешенную проблему современной неврологии. Актуальные нейрохирургические методики позволяют эффективно справиться с ней у ряда пациентов, на протяжении многих лет страдавших медикаментозно некупируемыми приступами. В обзоре рассмотрены современные нейрохирургические подходы в лечении эпилепсии, основные вопросы предоперационной диагностики и показания для нейрохирургического лечения. Представлен клинический случай пациентки, которой была успешно проведена стереотаксическая установка электродов в области передних таламических ядер со значительным клиническим улучшением по результатам динамического наблюдения.

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