颞叶海绵状血管瘤继发性癫痫手术治疗的效果

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。...

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Published in临床神经外科杂志 Vol. 14; no. 2; pp. 138 - 141
Main Author 王琴 曾其昌 黄红星 卢军 黄亚辉 彭琼
Format Journal Article
LanguageChinese
Published 湖南省脑科医院神经外科癫痫诊疗中心, 长沙,410007 2017
Subjects
手术
癫痫
颞叶海绵状血管瘤
epilepsy
手术
颞叶海绵状血管瘤
temporal cavernous hemangioma
癫痫
surgery
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Summary: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。
Bibliography: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.
temporal cavernous hemangioma; epilepsy; surgery
WANG Qin, ZENG Qi-chang, HUANG Hong-xing, et al.（ Neurosurgery Epilepsy Diagnosis and Treatment Center, Brain Hospital of Hunan Province, Changsha 410007, China）
32-1727/R
ISSN:1672-7770
DOI:10.3969/j.issn.1672-7770.2017.02.014