摘要
目的总结顽固性枕叶癫痫患者的手术治疗经验。方法自1992年6月至2004年12月我科手术治疗枕叶癫痫患者18例,其中7例行一侧枕叶皮质切除术,4例行一侧枕叶皮质切除+胼胝体切开术,3例行一侧枕叶多处软膜下横切术(MST),例行一侧枕叶切除+MST,1例行一侧枕叶切除+MST+皮层热灼术,1例行枕叶MST+胼胝体切开术。结果术后随访1年以上,1例患者疗效满意,3例效果显著,2例疗效良好,3例效果较差,手术总有效率83.3%(15/18)。结论顽固性枕叶癫痫患者的临床特点是发作时有视觉症状,伴或不伴头、眼向一侧偏转,神经电生理和神经影像学检查对术前定位有一定的帮助,且手术效果一般较好。
Objective To introduce the surgical experience in treating intractable occipital lobe epilepsy. Methods The clinical data of 18 patients with occipital lobe epilepsy undergoing surgery in our department from June 1992 to December 2004 were analyzed retrospectively. The surgical operations included one side of occipital lobe in 7 patients, one side of occipital lobectomy and corpus callostomy in 4, multiple subpial transeection （MST） of an occipital lobectomy in 3, MST and corpus one side of occipital lobectomy in 1, one side of occipital lobectomy, MST and bipolar coagulation of the cortex in 1, and MST and corpus callostomy in 1. Results The postoperative follow-up for more than 1 years showed that satisfactory outcome was achieved in 10 patients, significant improvement in 3, good effect in 2 and bad effect in 3. The total effective rate was 83.3%（15/18）. Conclusions The characteristics in patients with occipital lobe epilepsy include visual symptom with or without head and eye deflexion on seizure of the epilepsy, and so on. Neuro- electrophysiological and neuro-imaging examinations are helpful to the preoperative localization of epileptogenic loci. The curative effect of surgery on the epilepsy is good.
出处
《中国临床神经外科杂志》
2006年第8期456-458,共3页
Chinese Journal of Clinical Neurosurgery
关键词
枕叶癫痫
手术
诊断
癫痫灶定位
Occipital lobe epilepsy
Operation
Diagnosis
Localization of epileptogenic foci
