海马硬化与颞叶癫痫的关系  

Temporal Lobe Epilepsy and Hippocampus Sclerosis

作　　者：高翔[1] 江澄川[1] 洪震[2] 俞丽云[2] 史玉泉[1] 

机构地区：[1]上海医科大学华山医院神经外科,上海200040 [2]上海医科大学华山医院神经内科,上海200040

出　　处：《上海医科大学学报》2000年第2期115-116,120,共3页Journal of Fudan University(Medical Science)

摘　　要：目的　探讨海马硬化与颞叶癫 (TLE)关系及在TLE外科治疗中的作用。方法　对 15例TLE并考虑海马硬化的病例实施选择性海马杏仁核切除。结果　全部病例术中在皮质脑电图 (EEG)及深部EEG均发现颞叶内侧样放电 ,手术切除硬化海马后癫得到有效控制 ,术后患者神经心理正常。结论　海马硬化可能是TLE的主要病因 ,核磁共振 (MR)发现海马硬化是TLE定位诊断的重要依据 ,手术切除硬化海马可对TLE起到治疗作用。Purpose To discuss the role of hippocampus sclerosis (HS) in temporal lobe epilepsy and temporal lobe epilepsy surgery. Methods 15 temporal lobe epilepsy patients with HS underwent selective amygdalohippocampectomy. Results Epileptiform discharge were found in the medial region of temporal lobe in all the patients by cortex EEG and depth EEG,epileptic seizures were controlled satisfactorily after operatio.All patients'neuropsychological state remained normal. Conclusions HS may be one of the main causes of temporal lobe epilepsy,MR will provide critical information for location of epiletic temporal lobe when HS is found,epileptic seizures can be treated by surgical removal of HS.

关 键 词：颞叶癫痫 海马硬化 外科手术 相关性 

分 类 号：R742.1[医药卫生—神经病学与精神病学]