摘要
探讨颞叶癫痫患者手术切除的颞叶标本的病理变化与电生理改变的关系,并与手术疗效作对比分析,发现30例颞叶癫痫的病变性质与脑电图棘波的发生部位和棘波发生形式之间有关系。脑电图呈局限性爆发性高波幅棘波多提示占位性病变,手术效果最佳。脑电图呈广泛性双颞叶皮层或颞叶深部散发性、单发性棘波考虑非特异性改变,手术效果不理想。如颞叶深部出现较恒定的阵发性棘波多为海马角硬化,手术应切除海马组织。
This study was undertaken to investigate the correlations among neuropa-thological changes, electrophysiology and surgical results in temporal lobe epilepsy. 30 of lobectomy specimnes showed that the pathological changes were closely related to the spike localization and spike form of EEG. Focal burst spikes with higher voltage in EEO may point out the pathological diagnosis of occupy lesions with a satisfactory out-come of surgery. The diffuse or emited spikes of the temporal lobe bilaterally in EEG may point out the non-specific changes with the worst results of the operation usually. If the paroxysm spikes with medium voltage occured in the mid-temporal lobe, it was shown that the Ammon's horn was sclerosis, and the hippocampal tissure must be removed.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
1991年第4期213-215,共3页
Chinese Journal of Nervous and Mental Diseases
