伴有癫痫发作的颅内占位性病变520例临床分析  

Clinical analysis of 520 cases of intracranial spac-occupying lesion accompanying epileptic attack

作　　者：付鹏[1] 任家强[2] 姜汝明[1] 辛昌明[1] 田进军[1] 徐惠康[3] 

机构地区：[1]山东省泰安市中心医院神经外科,271000 [2]山东省泰安市第一人民医院 [3]解放军第88医院神经外科

出　　处：《立体定向和功能性神经外科杂志》2003年第3期141-142,共2页Chinese Journal of Stereotactic and Functional Neurosurgery

摘　　要：目的　了解各种颅内占位性病变的癫痫发生率 ,癫痫与病变性质部位的关系及治疗效果等。方法　对 10年来的收治 5 2 0例伴有癫痫发作的颅内占位性病变进行综合分析。结果　各种颅内占位性病变 (不含血肿 )均可引起癫痫发作 ,其发生率为 2 7.9%,其中“良性”占位所引起的癫痫占 70 .2 %,胶质瘤与转移瘤所引起的占2 9.8%,脑膜瘤和胶质瘤所引起的癫痫 ,分别占总数的 36 .2 %和 2 6 .5 %。在单一病种中 ,出现癫痫机率最高为脑囊虫病 (88.2 %) ,其次AVM (80 %) ,最低的是垂体瘤 (占 2 .1%)。病灶清除手术的治愈率为 83.7%。结论　颅内占位性病变的癫痫发生率与病变的性质、部位有关 ,手术治疗效果良好。Objective To identify the incidence rate of epileptic attack in intracranial space-occupying lesions,the relation between epilepsy and region?property of the lesion,the treatment outcome.Methods A retrospective analysis of 520 cases of intracrainal space-occupying lesion accompanying epilepsy attack in ten years was undertaken.Results Nearly every category of intracranial space-occupying lesion (except hematoma) can induce epileptic attack,the overall incidence was 27.9%,the benign lesion accounted for 70.2% incidence of epilepsy,while glioma and metastases accounted for 29.8%.Meningoma and glioma accounted for 36.2% and 26.5% respectively.For single category,cerebral cysticercosis has the highest incidence of epilepsy (88.2%),the second was AVM(80%),the lowest incidence was hypophysoma(21%),the curative ratio of operation was 83.7%.Conclusions The incidence of epilepsy in the intracranial space-occupying lesions are related to its region and property,the results of surgical treatment are good.

关 键 词：癫痫 颅内占位性病变 临床分析 脑肿瘤 首发症状 

分 类 号：R739.41[医药卫生—肿瘤] R742.1[医药卫生—临床医学]