颞叶癫癎术前综合定位诊断  

Lateralization of Intractable Temporal Lobe Epilepsy by Different Methods

作　　者：高翔[1] 江澄川[1] 洪震[2] 朱国行[2] 何慧瑾[3] 沈天真[3] 刘永昌[4] 

机构地区：[1]复旦大学华山医院神经外科,200040 [2]复旦大学华山医院神经内科,200040 [3]复旦大学华山医院放射科,200040 [4]复旦大学华山医院PET中心,200040

出　　处：《中国临床神经科学》2001年第4期350-352,共3页Chinese Journal of Clinical Neurosciences

摘　　要：目的:研究术前对颞叶癫癎不同定位手段的综合应用。方法:采用ＥＥＧ、ＰＥＴ、ＭＲＩ、ＭＲＳ对２４例顽固性颞叶癫癎患者进行术前定位。结果:结合ＥＥＧ,ＭＲＩ,ＭＲＳ,ＰＥＴ对８３%,７９%,８５%病例作出定位;ＥＥＧ结合ＭＲＩ与ＭＲＳ,可对９２%病例作出定位;ＥＥＧ结合ＭＲＩ,ＭＲＳ,ＰＥＴ,可对９６%的病例作出定位。结论:结合ＥＥＧ,综合采用ＭＲＩ,ＭＲＳ,ＰＥＴ等手段可提高对颞叶癫癎术前定位的准确率。Aim:To study the lateralization of intractable temporal lobe epilepsy by different methods.Methods: EEG,PET,MRI,MRS were used in 24 intractable temporal lobe epilepsy for pre-operative lateralization. Results: By using EEC,83% ,79% , 85% patients could be lateralized by MRI,MRS,PET. 92% patients could be lateralized when MRI and MRS were used together. In combination with MRI, MRS, PET, 96% patients could be lateralized.Conclusion: In combination with MRI,MRS,PET,more patients could be correctly lateralized before operation.

关 键 词：颞叶癫Xian MRI MRS PET EEC 手术前 定位诊断 

分 类 号：R742.1[医药卫生—神经病学与精神病学]