手术治疗癫癎患者脑电图分析及五年随访  

Analysis of Electroencephalogram in operation treated patients with epilepsy and 5 years following-up studies

作　　者：刘运林[1] 田进军[1] 张修宝[1] 

机构地区：[1]泰安市中心医院神经内科,山东泰安271000

出　　处：《临床神经电生理学杂志》2006年第2期74-76,共3页Journal of Clinical Electroneurophysiology

摘　　要：目的：探讨难治性癫癎手术治疗的临床疗效及脑电图(EEG)变化。方法：对43例难治性癫癎患者手术前、术中、术后分别进行常规脑电图(EEG)、长程录像脑电图(VEEG)监测及皮层电图(ECoG)监测,并定期随访,统计手术前后癫癎发作情况及进行脑电活动对比分析。结果：长程VEEG癎样波的检出率及定位率均显著高于EEG；术后EEG异常率显著下降(P＜0．01)；癫癎发作消失或发作频率显著减少。结论：EEG监测下手术是治疗难治性癫癎的有效方法。Objective：To study the effect of operation on treating intractable epilepsy patients and electrophysiologic changes. Methods： Electroencephalogram（EEG） and long term video Electroencephalogram（VEEG） were recorded before and after operation in 42 patients with intractable epilepsy. Cortical Electroencephalogram（ECoG） recording technique was used in operation procedure. The seizure of epilepsy patients and their brain electric activities were analyzed before and after operation. Results：The detectability rate of epileptic waves were higher in VEEG than that in EEG; The abnormality rate of Electroencephalograms after operation were lower（P〈0.01）; The seizure frequency was diminished or seizure free after operation. Conclusions： Surgery treatment is an efficient method to cure patients with intractable epilepsy under the monitoring of brain electric activity.

关 键 词：癫痫 脑电图 随访 手术治疗 

分 类 号：R742.1[医药卫生—神经病学与精神病学] R741.044[医药卫生—临床医学]