病灶切除结合周围痫灶皮层热灼治疗继发性癫痫(附18例报告)  

Treatment of secondary epilepsy by resection of lesions combined with thermocoagulation of the cortexes of epiletogenic foci (report of 18 cases)

作　　者：李春坡[1] 郑军[1] 

机构地区：[1]中国人民解放军第254医院神经外科,天津300142

出　　处：《中国临床神经外科杂志》2012年第4期200-202,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的回顾性分析继发性癫痫的外科治疗方法及效果。方法自2003年6月至2011年5月对18例继发性癫痫患者进行病灶切除,根据术中皮层脑电图监测结果,对病灶周围脑皮层实施热灼。结果 18例病人,术后随访6个月至8年,Engel分级Ⅰ级13例,Ⅱ级3例,Ⅲ级1例,Ⅳ级1例。结论病灶切除结合脑皮层热灼治疗继发性癫痫临床操作简便,可有效控制癫痫发作。Objective To explore the curative effect of neurosurgery on the secondary epilepsy.Methods The resection of lesions was performed in 18 patients with secondary epilepsy,in whom the thermocoagulation applied to the cortexes of the epiletogenic foci determined by the intraoperative electrocorticogram from June,2003 and May,2011.Results The following up from 6 months to 8 years after the surgery showed that according to Engel Seizure Outcome Scale,of 18 patients,13 belonged in Engel grade Ⅰ,3 in grade Ⅱ,1 in grade Ⅲ and 1 in grade Ⅳ.Conclusion The curative effect of the resection of lesions combined with the thermocoagulation of the cortexes of the epiletogenic foci,which is easy to performed,on the secondary epilepsy foci is good.

关 键 词：皮层热灼 皮层脑电图 癫痫 

分 类 号：R742.1[医药卫生—神经病学与精神病学] R651.11[医药卫生—临床医学]