脑电监测颅内蛛网膜囊肿伴癫痫手术治疗  

Surgical treatment of intracranial arachnoid cyst with epilepsy and the intraoperative electrocorticogram mornitoring

作　　者：汪恩焕[1] 郭之通[1] 谭启富[2] 王廷友[1] 

机构地区：[1]蚌埠市第三人民医院神经外科,23300 [2]南京军区南京总医院神经外科

出　　处：《安徽医学》2004年第4期290-292,共3页Anhui Medical Journal

基　　金：东南大学科研基金 [编号 :( 2 0 0 2 ) 1 6号 ]

摘　　要：目的　探讨颅内蛛网膜囊肿 (intracranialarachnoidcyst ,IAC)与癫痫的关系 ,以及外科治疗方法。 方法　应用脑电监测对颅内蛛网膜囊肿伴癫痫的患者进行手术治疗。癫痫灶局限于脑非功能区者 ,将癫痫灶和蛛网膜囊肿共同切除 ;癫痫灶局限于脑功能区者 ,将蛛网膜囊肿切除的同时 ,或对癫痫灶行以多处软脑膜下横纤维切断术 ,或行癫痫灶热凝术加选择性胼胝体切开术 ;癫痫灶不局限者 ,仅切除蛛网膜囊肿。结果　 16例IAC患者中完全不发作者 8例 ,显著改善者 5例 ,无变化者 3例 ,未见癫痫发作加重者。结论　颅内蛛网膜囊肿伴癫痫的患者 ,手术切除蛛网膜囊肿的同时 ,应用脑电监测对癫痫灶进行手术 。Objective To study the relationship betowwm intracranial arachnoid cyst and epilepsy and the surgical treatment of intracranial arachnoid cyst.Methods Undrt the intra operative electrocorticogram mornitoring,intracranial arachnoid cyst and epileptic spikes were resected,when the epileptic spiles comes from non functinal area. The resection of the cyst and multiple subpial cortical transection or cortical coagulation and selective corpus callosotomy were conducted. When the epileptic spikes come from functional area.When the epileptic spikes were multiple resources,only resection of the cyst was conducted. Results Seizures completely stopped among 8 cases,5 cases significantly improved,3 cases no change.No case deteriorated in the follow up period.Conclusion Remove of epileptic spikes under the ECoG mornitoring is a good surgical management in resection of intracranial arachnoid cyst with epilepsy.

关 键 词：脑电 监测 颅内蛛网膜囊肿 癫痫 手术治疗 

分 类 号：R651.1[医药卫生—外科学]