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The early outcome of Rasmussen's encephalitis after surgical treatment
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 10
- DOI:
- 10.3760/j.issn:1001-2346.2007.10.005
- Key Word:
- 癫痫;大脑半球切除术;Rasmussen's脑炎
Abstract： 目的 总结手术治疗Rasmussen's脑炎的早期疗效.方法 回顾性分析9例患者的临床资料并系统随访10-30个月.结果 经过综合评估,6例行大脑半球切除术,2例行颅内电极脑电图监测后"tailor"式切除联合功能区致痫皮质电凝热灼术,1例行多脑叶切除术.在随访期间,癫痫发作完全消失者3例、偶有发作者2例、发作减轻者3例、1例无缓解.术后早期5例出现肌力下降、4例无变化.经过康复治疗后,肢体功能好转6例,神经心理功能改善8例.结论 手术治疗Rasmussen's脑炎,不仅能有效控制或减轻癫痫发作,还能改善患者的神经心理功能.其早期疗效值得肯定.
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