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治疗 神经学 & 神经外科

癫痫
治疗

你在癫痫中心的神经学团队, 还有你的主治gpk电子游戏官网, will design a treatment plan tailored to your condition and individual needs. You may require more than one kind of treatment — such as medication and surgery — and may be referred to other medical professionals.

药物治疗

大多数癫痫可以通过药物预防. The type of medication prescribed will depend on your condition. Your neurologist will explain how to take your medication and what side effects might occur. Over time, your medication may be changed to find the right drug and dose. 一定要按照医嘱服药. Call your neurologist if you have questions or experience any unexpected side effects.

手术

对一些病人来说, surgery may be recommended to prevent seizures or to implant devices that deliver medications or stimulators to emit electrical impulses. Your neurologist will explain the 过程 as well as possible risks.

这些程序包括:

病灶切除术

这些 程序 are the most common operations for treating epilepsy and provide the best chance for patients to gain complete seizure control. They involve removing a small area of the brain where seizures originate. New brain monitoring techniques allow doctors to better pinpoint the brain tissue causing seizures. 切除类型包括:

  • 颞叶切除术 a portion of the temporal lobe is removed to control seizures.
  • 大叶性切除 额叶引起癫痫发作的额叶的一部分, 顶骨或枕骨-切除, 如果能在不损害重要功能的情况下完成.
  • 大脑半球切除术 大脑的一个半球被切除或损坏. The remaining half of the brain takes over many of the functions of the half that was removed. 这 过程 is used to treat severe conditions that have not responded to other treatments.

Visualase热激光消融

在这个 过程, a laser fiber is inserted through a small hole in the skull and guided toward the source of the patient's seizures. 然后激光加热并摧毁小的, 异常脑组织界限分明的区域, 不伤害周围的组织.

响应神经刺激

小型电池驱动装置 是手术植入颅骨吗. The device detects abnormal electrical activity in the brain and delivers imperceptible levels of electrical stimulation to normalize brain activity before a seizure begins. FDA于2014年11月批准了该设备, and UCSF is one of the first centers on the West Coast to provide this new treatment option to patients.

断开程序

这些 程序 attempt to stop or reduce seizures by cutting the nerve pathways through which seizure impulses travel in the brain.

迷走神经的神经刺激

小手术 is a relatively new treatment that helps prevent or lessen the severity of seizures. An electrical stimulator is implanted that sends regular electrical pulses through the vagus nerve to the brain to reduce the onset or frequency of seizures. 如果癫痫发作发生在两剂电流之间, a magnet can be passed over the device to trigger an additional dose.

如果你植入了迷走神经刺激器, you'll continue to take medication but may be able to reduce the amount or number of medications. 这 过程 can treat a wide variety of seizure disorders when other surgical 程序 aren't an option.

Most medical treatments may involve some risks or complications. Your neurologist will explain any possible risks or complications from the treatments you'll receive. Don't be afraid to ask your doctors, nurses or therapists about your treatment. If your treatment includes medication, be sure to take it exactly as the doctor has ordered. And remember to keep all your follow-up appointments with our doctors and other medical staff.

自我保健的建议

To help cope with epilepsy and reduce your chance of injury from seizures, 我们推荐以下指导方针:

  • Carry identification, including a bracelet, card or necklace that shows you have epilepsy. In an emergency, this information can ensure that you receive the right care.
  • Explain to your family, friends and co-workers how to care for you if you have a seizure.
  • 遵守国家关于驾驶机动车的规定.
  • 如果你有规律的甚至是偶尔的癫痫发作, avoid dangerous situations at work and during leisure activities. For example, do not work in high places, on ladders or scaffolding, or near sharp or moving objects. 做运动的时候要小心. 不要一个人游泳或爬山.
  • Don't stop taking your seizure medication or change the dose without discussing it with your doctor.
  • Talk with your doctor or pharmacist before taking any medication in addition to your seizure drugs.
  • If you are pregnant or thinking of becoming pregnant, talk to your neurologist as soon as possible. You may need to take vitamin supplements to protect your baby.

加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.

在UCSF健康中心寻求治疗

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