神经内镜下双侧壁造瘘术治疗透明隔囊肿伴难治性癫痫  

Bilateral neuroendoscopic fenestration in patients with symptomatic septum pellucidum cyst and refractory epilepsy

作　　者：陈昆[1] 谢法潮 苏月焦[1] 林佳平[1] 张明亮 Chen Kun;Xie Fachao;Su Yuejiao;Lin Jiaping;Zhang Mingliang(Department of Neurosurgery,First Affiliated Hospital of Sun Yat-Sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院神经外科,广州510080

出　　处：《中华神经医学杂志》2018年第10期1045-1047,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨神经内镜下透明隔双侧壁造瘘术治疗透明隔囊肿伴难治性癫痫的手术疗效。方法选择中山大学附属第一医院神经外科自2012年1月至2017年9月行透明确双侧壁造瘘术治疗透明隔囊肿伴难治性癫痫患者9例，术前均经MRI确诊且未见其他明显致痫灶，均采用神经内镜经右侧脑室额角入路行透明隔双侧壁造瘘术，术后门诊随访6-72个月。 结果所有患者术后均规律服用抗癫痫药，随访期间均无全面性强直-阵挛发作出现，复查头颅MRI示透明隔囊肿均明显缩小。结论神经内镜下透明隔双侧壁造瘘术可有效治疗透明隔囊肿伴发的难治性癫痫。ObjectiveTo investigate the operative efficacy of pellucid septostomy in patients with septum pellucidum cysts and refractory epilepsy.MethodsNine patients with septum pellucidum cysts and refractory epilepsy, admitted to our hospital from January 2012 to September 2017, chosen; diagnosis by MR imaging was performed in all patients and no other obvious epilepsy lesions were noted. All patients underwent bilateral endoscopic fenestration （pellucid septostomy） by right frontal approach. Follow-up was performed for 6-72 months.ResultsAll patients took antiepileptic regularly. No overall tonic-clonic seizure was noted in 6-72 months of follow-up. Shrunk septum pellucidum cysts were noted in MR imaging.ConclusionPatients with septum pellucidum cysts and refractory epilepsy could be cured by pellucid septostomy.

关 键 词：透明隔囊肿 癫痫 神经内镜 造瘘术 

分 类 号：R742.1[医药卫生—神经病学与精神病学]