颞叶癫痫术后脑脊液变化的动态研究  

The dynamic changes of CSF after temporal lobe epilepsy surgery

作　　者：段光辉 郭毅[2] 郭金竹[2] 窦万臣[2] 苏长保[2] 

机构地区：[1]甘肃省第二人民医院神经外科,兰州730000 [2]北京协和医院神经外科

出　　处：《立体定向和功能性神经外科杂志》2014年第3期136-139,共4页Chinese Journal of Stereotactic and Functional Neurosurgery

摘　　要：目的探讨颞叶癫痫术后颅内压力、脑脊液细胞及生化成分的动态改变情况,观察脑脊液成分变化和术后发热之间的关系。方法对北京协和医院神经外科2012年3月至8月期间颞叶癫痫手术后发热患者28例行腰椎穿刺,测量颅内压、脑脊液细胞学检查和生化分析。结果获得了颞叶癫痫术后颅内压的波动曲线、脑脊液细胞数及生化成分的改变曲线。结果颞叶癫痫手术后发热多与血性脑脊液刺激有关,与感染无关;颞叶癫痫手术后颅内压一般不高,通常不需使用降颅压药物。结论腰椎穿刺释放血性脑脊液对于颞叶癫痫术后发热疗效满意。Objective To investigate dynamic changes of intracranial pressure,cell counts and biochemical components of cerebrospinal fluid（CSF）after temporal lobectomy or selective amagadalohippocampectomy.We try to summarize the relationship between cerebrospinal fluid composition and postoperative fever.Methods Twenty-eight patients who underwent temporal lobe epilepsy surgery in Peking Union Medical College Hospital from March 2012 to August 2012 got fever38.5centigrade were made the lumbar puncture to test the intracranial pressure,the cell counts and the biochemical components of the CSF.Results Fluctuation curve of intracranial pressure,cerebrospinal fluid cell count and some biochemical compositions such as protein and sugar after temporal lobe epilepsy surgery were obtained.Conclusions The postoperative fever of temporal lobe epilepsy was caused mostly by bloody CSF,but not due to infection;Intracranial pressure after temporal lobe epilepsy surgery is usually mild increased and intracranial pressure lowering drugs were not necessary.Conclusion To evacuation the bloody CSF through the lumbar punctures was favourable for fever releasing.

关 键 词：颞叶癫痫 癫痫手术 术后发热 腰椎穿刺术 颅内压 脑脊液 

分 类 号：R742.1[医药卫生—神经病学与精神病学]