Treatment of symptomatic epilepsy by lesionectomy combined with cortex thermocoagulation under the monitoring of cortical EEG

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Author:
ZHU Jian-ming(Department of Neurosurgery,Second Affiliated Hospital, Nanchang University,Nanchang 330006,China)
ZHU Xin-geng(Department of Neurosurgery,Second Affiliated Hospital, Nanchang University,Nanchang 330006,China)
ZHANG Ming()
LU Jie()
LIU Xin-jun(Department of Neurosurgery,Second Affiliated Hospital, Nanchang University,Nanchang 330006,China)
Journal Title:
CHINESE JOURNAL OF NEUROMEDICINE
Issue:
Volume 7, Issue 03, 2008
DOI:
Key Word:
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.

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