2026年 · 第42卷第06期

Craniocerebral trauma is a serious public health event on a global scale. In China, the annual incidence rate of craniocerebral trauma is about 55.4/100,000~64.1/100,000. The disability rate of craniocerebral trauma is high, which seriously affects the quality of life of patients, and brings heavy economic and psychological burden to individuals, families and society.

Epilepsy is a common chronic neurological disease, in which approximately 1/3 of patients have poor drug therapy and is defined as drug-refractory epilepsy (DRE), which seriously affects the quality of life and social function of patients. Surgical treatment has become an important means for some DRE patients to achieve long-term seizure-free. Traditional craniotomy can significantly control seizures, but its application in some patients is limited because of its high trauma, long recovery cycle, and high risk of complications^[1]。 laser interstitial thermal therapy (LITT) was first proposed by Bown in 1983. In 1990, Sugiyama first used it for the treatment of brain lesions. In 2007, the U.S. Food and Drug Administration approved magnetic resonance guided LITT (MRgLITT) for the treatment of intracranial diseases^[2]And rapidly promoted in the field of epilepsy surgery. Since 2020, many epilepsy centers in my country have successively carried out clinical practice of using MRgLITT to treat DRE, accumulating relatively rich experience, laying the foundation for the localized application and promotion of this technology. At present, there are few relevant guidelines or consensus at home and abroad. Most of the existing literatures are single-center retrospective studies, and there is a lack of unified standards in patient selection, surgical indications, technical operating specifications and perioperative management. Under this background, Tan Qifu Professional Committee of Preoperative Evaluation and Surgical Technology of Epilepsy Surgery of China Anti-Epilepsy Association organized domestic experts in relevant fields to formulate the Expert Consensus on the Application of Laser Interstitial Hyperthermia in Epilepsy Surgery Guided by Magnetic Resonance (2026 Edition), which is in line with China's national conditions, which has important clinical and academic value for standardizing surgical indications and contraindications, guiding preoperative evaluation and surgical operation, improving surgical efficacy and safety, and promoting multi-center collaboration and clinical promotion.