Treatment of symptomatic epilepsy by lesionectomy combined with cortex thermocoagulation under the monitoring of cortical EEG
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROMEDICINE
- Issue:
- 3
- DOI:
- 10.3760/cma.j.issn.1671-8925.2008.03.005
- Key Word:
- 继发性癫痫;皮层热凝术;病灶切除;皮层脑电图;Symptomatic epilepsy;Cortex thermocoagulation;Lesionectomy;Electrocorticogram
Abstract： Objective To observe the clinical effects of lesionectomy combined with bipolar coagulation on the cortexes with epileptogenic foci in symptomatic epilepsy. Methods Twenty-three cases of space-occupying lesion complicated by secondary epilepsy were treated by lesionectomy combined with bipolar coagulation under cortical EEG monitoring, and the control rate of epilepsy after operation was studied during the follow-up. Results All cases were followed up for 20 months on average. The clinical success of the treatment was assessed according to the criteria of the International Epilepsy Institute:level Ⅰ 14 cases,levelⅡ5 cases,levelⅢ2 cases,levelⅣ2 cases.The success rates (level Ⅰ,ⅡandⅢ)amounted to 91.3%(21/23). Conclusions Lesionectomy combined with cortex thermocoagulation is safe and effective in the treatment of symptomatic epilepsy.
- [1]李天栋,白红民,蒋晓星,等.皮层脑电图监测下切除有癫痫症状的脑肿瘤[J].2004,(2).
- [2]漆松涛,邱炳辉,欧阳辉,等.创伤性癫痫的临床特征及外科治疗[J].2004,(4).
- [3]刘建民,杨建军,黄清海,等.皮层热凝治疗功能区局灶性癫痫的实验研究[J].2002,(2).
- [4]殷晓梅,喻廉.103例颅内病变伴发癫痫术中皮层脑电监测结果分析[J].2007,(3).
- [5]杨忠旭,栾国明.病灶切除辅助周围痫灶皮质横纤维热灼治疗继发性癫痫[J].2002,(3).
- [6]王忠诚主编.王忠诚神经外科学[M].2004.
- [7]F, Morrell,W W, Whisler,T P, Bleck.Multiple subpial transection: a new approach to the surgical treatment of focal epilepsy.[J].1989,70(2).