海马有病损的颞叶内侧癫手术15例临床分析  

Operation of medial temporal lobe epilepsy with hippocampus lesion

作　　者：董艳芳[1] 程景丽[1] 张玲[1] 杨建华[1] 韩建国[1] 

机构地区：[1]包头医学院第一附属医院神经外科,014010

出　　处：《临床神经外科杂志》2012年第6期366-367,共2页Journal of Clinical Neurosurgery

摘　　要：目的探讨海马有病损的颞叶内侧癫的手术价值。方法回顾性分析经手术治疗的15例伴有海马病损颞叶内侧癫患者。均经详细了解发作症状学、附加蝶骨电极的长程视频脑电图及颅脑磁共振等检查;经正规而详尽的术前评估,行前颞叶切除术,术后随访至少半年以上。结果术后依据Engel分级,显效(Ⅰ级和Ⅱ级)占80.0%(12/15)、好转(Ⅲ级)占20.0%(3/15)、无效(Ⅳ级)为0.0%。结论颞叶内侧癫手术效果确切,是基层医院开展癫手术的理想选择。Objectiv To explore the surgery value of hippoeampal lesion in the medial temporal lobe epilepsy. Method The clinical data of 15 patients with hippocampal lesions of medial temporal lobe epilepsy by operation were analyzed retrospectively. After a detailed understanding of the onset of symptoms, additional sphenoidal electrodes of video EEG and brain magnetic resonance were examined. By the formal and detail preoperative evaluation, anterior temporal lobectomy was operated, and postoperative followed up of at least six months or more. Result According to Engel classification, effect （ grade Ⅰ and Ⅱ） accounted for 80% （ 12/15 ） , better （ grade Ⅲ ） accounted for 20% （3/15） and invalid （ Ⅳ ） 0% after operation. Conclusion The operation effect of medial temporal lobe epilepsy operation effect is exact.

关 键 词：颞叶内侧癫 海马 治疗 

分 类 号：R742.1[医药卫生—神经病学与精神病学]