[1]王逸鹤 赵国光 单永治 樊晓彤 安 阳.皮层脑电图监测在伴有癫痫的颞叶海绵状血管瘤手术中的作用[J].中国临床神经外科杂志,2016,(08):463-465.[doi:10.13798/j.issn.1009-153X.2016.08.006]
 WANG Yi-he,ZHAO Guo-guang,SHAN Yong-zhi,et al.Electrocorticography-guided resection of temporal cavernous malformations associated with epilepsy[J].,2016,(08):463-465.[doi:10.13798/j.issn.1009-153X.2016.08.006]
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皮层脑电图监测在伴有癫痫的颞叶海绵状血管瘤手术中的作用()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年08期
页码:
463-465
栏目:
论著
出版日期:
2016-08-18

文章信息/Info

Title:
Electrocorticography-guided resection of temporal cavernous malformations associated with epilepsy
文章编号:
1009-153X(2016)08-0463-03
作者:
王逸鹤 赵国光 单永治 樊晓彤 安 阳
100053 北京,首都医科大学宣武医院神经外科
通讯作者:赵国光,E-mail:ggzhao@vip.sina.com
Author(s):
WANG Yi-he ZHAO Guo-guang SHAN Yong-zhi FAN Xiao-tong AN Yang.
Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
关键词:
海绵状血管瘤癫痫颞叶皮层脑电图手术
Keywords:
Electrocorticogram Cavernous malformation Epilepsy Temporal lobe Surgery
分类号:
R 742.1; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2016.08.006
文献标志码:
A
摘要:
目的 探讨皮层脑电图(ECoG)监测在伴有癫痫的颞叶海绵状血管瘤手术中的作用。方法 2006年1月至2015年3月手术治疗伴有癫痫的颞叶海绵状血管瘤98例,术中采用ECoG监测53例,未用ECoG监测45例。术后随访1~8年,平均3.5年。结果 术后无死亡及永久性功能障碍。术后Engle Ⅰ级72例(73.5%) ,Ⅱ级18例(18.4%),Ⅲ级5例(5.1%),Ⅳ级3例(3.1%)。癫痫病史<1年的36例中,术后Engle Ⅰ级31例(86.1%);>1年的62中,术后Engle Ⅰ级41例(66.1%);两组差异显著(P<0.05)。ecog监测下手术的53例中,术后engle ⅰ级44例(83.0%);未监测的45例中,术后engleⅰ级28例(62.2%);两组亦差异显著(P<0.05)。>结论 伴有癫痫的颞叶海绵状血管瘤应尽早手术治疗;在ECoG监测下做病灶扩大切除或脑叶切除将获得更理想的癫痫控制率。
Abstract:
Objective To explore the value of electrocorticogram (ECoG) to neurosurgery for temporal lobe cavernous malformations (CMs) associated with epilepsy. Methods The clinical data of 98 patients with temporal lobe CMs associated with epilepsy who underwent neurosurgery from January, 2006 to March, 2015 were analyzed retrospectively. Of 98 patients, 53 (observed group) received ECoG-guided resection of CMs and hemosiderin zone along with extended epileptogenic zones and the 45 (control group) underwent resection of CMs and hemosiderin zone without ECoG guide. All the patients were followed up for 1 year at least. Results CMs were confirmed by pathological examination in all the patients, in whom no permanent neurological dysfunction was observed during following-up. The epileptic control reached Engle classⅠ in 72 patients (73.5%), Ⅱ in 18 (18.4%), Ⅲ in 5 patients (5.1%) and Ⅳ in 3 (3.1%). The percentage (86.1%, 31/36) of the patients with Engle Class Ⅰ was significantly higher in the patients with fewer than 1 year preoperative duration of seizures than that (66.1%, 41/62) in the patients with more than 1 year preoperative duration of seizures (PP

参考文献/References:

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更新日期/Last Update: 2016-08-19