PDF(Pubmed)
Abstract：
Treatment decisions in epilepsy critically depend on information on the course of the disease, its severity and options for specific local interventions. We here report a patient with pharmaco-resistant non-lesional temporal lobe epilepsy with evidence for predominant right temporal epileptogenesis. While seizure frequency had been grossly underestimated for many years, ultralong-term monitoring with a subcutaneous EEG device revealed actual seizure frequency (66 over 11 months vs four patient-documented seizures), providing objective data on treatment efficacy and additional supportive lateralizing information that played a decisive role for the choice of surgical treatment, which had been rejected by the patient prior to this information.
摘要：
癫痫的治疗决策关键取决于疾病进程的信息，其严重性和具体当地干预措施的选择。我们在这里报告了患有药物抗性非病灶性颞叶癫痫的患者，有证据表明右侧颞叶癫痫主要发生。虽然多年来癫痫发作频率被严重低估，使用皮下EEG设备进行超长期监测显示实际癫痫发作频率（11个月内66与4例患者记录的癫痫发作），提供关于治疗效果的客观数据和额外的支持性偏侧信息，这些信息对手术治疗的选择起决定性作用，在此信息之前已被患者拒绝。
