You Position: Home > Paper
Application of long-term intracranial EEG monitoring in epilepsy surgery
( views:367, downloads:270 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 8
- DOI:
- 10.3760/j.issn:1001-2346.2005.08.003
- Key Word:
- 癫痫;致痫灶;颅内电极;脑电图
Abstract： 目的评估颅内EEG(intracranial EEG,iEEG)监测在致痫灶定位中的可靠性和安全性.方法头皮EEG(scalp EEG,sEEG)监测致痫灶定位困难的顽固性癫痫患者46例,采用颅内硬膜下和(或)脑内电极,长程视频iEEG监测.根据术中痫样放电的表现、术后病理结果、疗效和sEEG复查结果,分析iEEG定位致痫灶的价值.结果深部电极埋置8例、硬膜下电极埋置17例、二者联合应用21例;电极留置4-23d,平均8.6±3.8d;iEEG监测8-552h,平均132±34h;捕捉到发作436次,平均9.4±7.8次.术后随访1年以上,82%(38/46)的患者癫痫发作完全消失或基本消失(少于2次/年),无严重并发症发生.结论对于那些无创检查不能明确致痫灶的病例,iEEG是一种安全可靠的定位方法.
- [1]魏书航,杨开军,王克万,等.颅内电极记录在定位颞叶癫痫致痫灶中的应用研究[J].2004,(3).
- [2]张国君,王玉平,遇涛,等.颅内电极监测癫痫发作初始期脑电定位意义[J].2002,(24).
- [3]张国君,李勇杰,王玉平,等.颅内电极脑电监测定位致癎灶[J].2003,(11).
- [4]李桂林,孙淑清,李敬军.癫痫病人脑棘波灶轴突、突触和树突的病理学研究[J].2004,(4).
- [5]遇涛,王玉平,张国君,等.异位神经元与难治性癫痫间关系的临床研究[J].2002,(12).
- [6]谭启富,孙康健,潘云曦,等.功能性大脑半球切除术的长期效果[J].2002,(4).
- [7]Elger CE,Van-Roost D,van-Oosterwyck B,etc.Depth electrode implantation in the length axis of the hippocampus for the presurgical evaluation of medial temporal lobe epilepsy: a computed tomography-based stereotactic insertion technique and its accuracy.[J].1998,43(4).
- [8]Henry TR,Drury I,Schuh LA,etc.Ictal spiking patterns recorded from temporal depth electrodes predict good outcome after anterior temporal lobectomy.[J].2000,41(3).
- [9]Ochi A,Snead OC 3rd,Logan W,etc.Complications of invasive subdural grid monitoring in children with epilepsy.[J].2003,98(5).
- [10]Zumsteg D,Wieser HG.Presurgical evaluation: current role of invasive EEG.[J].2000,41(Suppl.3).
- [11]Grunwald T,Blumcke I,Kral T,etc.Surgical treatment for neocortical temporal lobe epilepsy: clinical and surgical aspects and seizure outcome.[J].2001,94(1).
- [12]Cascino GD,Sharbrough FW,Schiller Y.Chronic intracranial EEG monitoring for localizing the epileptogenic zone: an electroclinical correlation.[J].1998,39(12).
- [13]E.Behrens,J.Zentner,D.vanRoost,etc.Subdural and depth electrodes in the presurgical evaluation of epilepsy[J].1994,128(1).
- [14]McKhann GM-2nd,Haglund MM,Ojemann GA,etc.Intraoperative hippocampal electrocorticography to predict the extent of hippocampal resection in temporal lobe epilepsy surgery.[J].2000,93(1).
- [15]Berger MS,Ojemann GA,Ojemann SG,etc.Localization of language function in children: results of electrical stimulation mapping.[J].2003,98(3).
- [16]王伟民,王玉宝,李天栋,等.脑功能区胶质瘤的手术策略[J].2004,(2).