摘要
目的:探讨顽固性癫痫致痫灶的定位及外科手术方法。方法:对25例病人进行电生理学、CT、MRI及ECT检查,确定手术方案,术中在皮层脑电图监测下切除致痫灶。结果:本组病人癫痫停止发作14例(56%),药物控制良好10例(40%),无效1例。无严重神经功能并发症和手术死亡。结论:皮层脑电图监测有利于准确定位致病灶,手术取得良好效果。
Objective:To review our experience in accurate localization and surgical resection of the epileptogenic area. Methods: In each of the 25 patients with intractable epilepsy, planning of the epilepsy surgery was based on the comprehensive results of presurgical electrophysiological testing, CT scanning, MR imaging and/or ECT scanning, guided by the intraoperative electrocorticography. Results:Seizure remission was achieved in 14 cases(56%), good seizure control under medication in 10 cases(40%), and no use in 1 case(4% ), with no serious complications or surgical mortality. Conclusions: Intraoperative electrocorticography was helpful to accurately localize the epileptogenic area and make the epilepsy surgery safe and feasible.
出处
《福州总医院学报》
2002年第3期151-152,共2页
Journal of Fuzhou General Hospital
关键词
皮层脑电图
手术治疗
顽固性癫痫
痫灶定位
Intractable epilepsy Epilepsy surgery Intraoperative electrocorticography
