颞叶海绵状血管瘤继发性癫痫手术治疗的效果  

The effect of surgical treatment of temporal lobe cavernous hemangioma

作　　者：王琴[1] 曾其昌[1] 黄红星[1] 卢军[1] 黄亚辉[1] 彭琼[1] 

机构地区：[1]湖南省脑科医院神经外科癫痫诊疗中心,长沙410007

出　　处：《临床神经外科杂志》2017年第2期138-141,共4页Journal of Clinical Neurosurgery

基　　金：湖南省重点专科建设资助项目[(2015)43]

摘　　要：目的探讨颞叶海绵状血管瘤继发性癫痫手术治疗的效果。方法回顾性分析我科自2011年3月~2015年6月手术治疗的8例颞叶海绵状血管瘤继发性癫痫患者的临床资料和随访结果。患者术前均行头颅MRI和长程视频脑电图监测等综合评估,术中行皮层脑电监测。结果患者术后随访1~5年;疗效按Engel分级,Ⅰ级5例,Ⅱ级2例,Ⅲ级1例。有4例患者手术2年后逐步停服抗癫痫药物。结论手术治疗颞叶海绵状血管瘤继发性癫痫可取得较好的效果。Objective To explore the effect of surgery for secondary epilepsy of temporal lobe cavernous hemangioma. Method The clinical data and follow-up results of 8 epilepsy of temporal lobe cavernous hemangioma treated in our department from 2011 to June 2015 were retrospectively analyzed. Preoperative patients underwent cranial MRI,long-term video EEG monitoring and other comprehensive evaluation,intraoperative electrocorticogram monitoring. Results Patients were followed up for 1 to 5 years,By Engel grading curative effect of grade Ⅰ in 5 cases,grade Ⅱ in 2cases,grade Ⅲ in 1 case. Conclusion Surgical treatment of temporal lobe cavernous hemangioma with secondary epilepsy can achieve good results.

关 键 词：颞叶海绵状血管瘤 癫痫 手术 

分 类 号：R742.1[医药卫生—神经病学与精神病学]