癫痫外科治疗适用于药物难治的顽固性癫痫。可以切除的脑病理变化所致继发性癫痫等;年龄一般在青春期以后,并排除相应禁忌证。随着癫痫外科诊疗技术的提高,约25％～50％的顽固性癫痫患者可获益于手术治疗。一、脑皮质病灶切除术目的是切除产痫灶。它要求:局限性发作致痫部位肯定,临床、EEG、影像学资料相一致,表明属局限性癫痫,病灶在大脑皮层可切除部位,手术不产生严重神经功能障碍。癫痫灶通常在原发病灶附近,但也可能远 Epilepsy surgical treatment for refractory refractory epilepsy. Can be removed due to pathological changes of secondary epilepsy; age generally after puberty, and rule out the corresponding contraindications. With the improvement of surgical treatment of epilepsy, about 25% to 50% of intractable epilepsy patients can benefit from surgery. First, the purpose of cystectomy resection epileptogenic lesions. It requires: localized episodes of epilepsy confirmed positive, clinical, EEG, imaging data consistent, that is a localized epilepsy, lesion in the cortex resectable site, surgery does not produce serious neurological dysfunction. Epileptic foci are usually near the primary lesion but may also be distant