摘要:背景抑郁症在颞叶癫痫中发生率高达50%~60%,而30%的药物难治性颞叶癫痫患者可表现为头颅核磁共振(MRI)无明显异常,这部分患者相较于伴有海马硬化的药物难治性颞叶癫痫患者出现继发性全面强直阵挛发作的机率更高。因此,MRI阴性药物难治性颞叶癫痫合并抑郁症的患者,生活质量更差、自杀风险更高,更需要癫痫外科手术治疗。
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