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Anesthesia for temporal lobe epilepsy surgery.

机译:麻醉用于颞叶癫痫手术。

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摘要

Anesthetic considerations for temporal lobectomy for refractory epilepsy include ensuring a safe and comfortable perioperative experience for the patient, providing suitable operating conditions for the surgeon, avoiding interference with intraoperative electrocorticographic (ECoG) recordings and facilitating intraoperative functional cortical mapping, if performed. Providing the conditions that simultaneously meet these requirements, using general anesthesia or local anesthesia with sedation, remains a significant challenge for the neuroanesthetist. We review issues pertinent to the choice of anesthetic technique for these procedures.
机译:颞叶切除术治疗难治性癫痫的麻醉注意事项包括确保为患者提供安全舒适的围手术期经验,为外科医生提供合适的手术条件,避免干扰术中脑电图(ECoG)记录以及促进术中功能性皮层标测(如果执行)。提供全麻或局部麻醉镇静同时满足这些要求的条件,仍然是神经麻醉师面临的重大挑战。我们回顾了与这些程序选择麻醉技术有关的问题。

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