摘要
目的探讨外伤性癫痫手术治疗的效果。方法外伤性癫痫25例,首次癫痫发作在颅脑损伤后3￣15年。术前患者均行了EEG检查和CT或MRI检查,另外7例患者还行发作间期SPECT检查。在ECoG监测下对患者进行手术治疗。结果术后半年以上随访显示手术总有效率为84.0%(21/25),优良率为80.0%(20/25)。其中16例行皮质切除术患者中14例有效;4例行前颞叶切除术的患者均有效;4例行单纯胼胝体切开术的患者例有效2,2例效果较差;1例行胼胝体切开多处软脑膜下横纤维切断+(MST)的患者有效。结论外伤性癫痫是顽固性癫痫中手术疗效较好的一种类型。如果药物治疗的效果不佳,且术前致痫灶定位准确,就可以考虑手术治疗。
Objective To explore the effect of surgery on traumatic epilepsy. Method The first seizure occurred 3～15 years after craniocerebral injury in 25 patients with epilepsy. EEG and CT or MRI were preoperatively performed in all the patients. SPECT exa-mination was done in 7 patients. All the patients underwent the operations under ECoG. Results The follow-up for more than half a year showed that the total effective rate of epilepsy surgery was 84.0% (21/25) and excellent rate was 80% (20/25). The effective result was achieved in 14 of 16 patients undergoing cortical resection. The anterior temporal lobectomy was effective in all the 4 patients with epilepsy. Of 4 patients undergoing corpus collotomy, 2 received effective outcome and 2 bad. One patient receiving mutiple subpial transection and corpus collotomy was recovered from his illness. Conclusion The traumatic epilepsy is a kind of refractory epilepsy with better surgical effect. The epileptic lesion should be surgically resected when it can not be controlled by anti-epileptic drugs.
出处
《中国临床神经外科杂志》
2005年第1期5-7,共3页
Chinese Journal of Clinical Neurosurgery
关键词
外伤性癫痫
手术
疗效
Traumatic epilepsy
Surgery
Curative effect
