[1]张所军 王 艳 欧一博 陈 旭 舒 凯 牛洪泉 雷 霆.以癫痫起病的颞叶海绵状血管瘤的手术治疗[J].中国临床神经外科杂志,2016,(08):449-451.[doi:10.13798/j.issn.1009-153X.2016.08.001]
 ZHANG Suo-jun,WANG Yan,OU Yi-bo,et al.Microsurgery for cavernous angiomas initially presenting with seizures[J].,2016,(08):449-451.[doi:10.13798/j.issn.1009-153X.2016.08.001]
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以癫痫起病的颞叶海绵状血管瘤的手术治疗()
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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:
449-451
栏目:
论著
出版日期:
2016-08-18

文章信息/Info

Title:
Microsurgery for cavernous angiomas initially presenting with seizures
文章编号:
1009-153X(2016)08-0449-03
作者:
张所军 王 艳 欧一博 陈 旭 舒 凯 牛洪泉 雷 霆
430022 武汉,华中科技大学同济医学院附属同济医院神经外科
通讯作者:牛洪泉,E-mail:hqniu@tjh.tjmu.edu.cn
Author(s):
ZHANG Suo-jun WANG Yan OU Yi-bo CHEN Xu SHU Kai NIU Hong-quan LEI Ting.
Department of Neurosurgery, Tongji Hospital, Tongji Medical School, Huazhong University of Sciences and Technology, Wuhan 430022, China
关键词:
海绵状血管瘤癫痫颞叶显微手术疗效
Keywords:
Epilepsy Temporal lobe Cavernous angiomas Microsurgery Epilepsy surgery
分类号:
R 742.1; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2016.08.001
文献标志码:
A
摘要:
目的 探讨以癫痫起病的颞叶海绵状血管瘤的临床特征、显微手术治疗方法及效果。方法 对14例以癫痫起病的颞叶海绵状血管瘤的临床资料、手术方式和手术效果进行回顾性分析。结果 6例单纯瘤周放电和1例电极描记阴性行单纯病变和含铁血黄素层切除;7例病变侵及颞叶内侧和岛叶,加行前颞叶以及内侧结构切除术。术后随访1~2年,癫痫缓解率满意,按照Engel 癫痫手术预后标准,Ⅰ级8例,Ⅱ级4例,Ⅲ级1例,Ⅳ级1例;所有患者未检测到血管瘤复发。结论 对颞叶海绵状血管瘤继发癫痫,术前积极评估,采取个体化手术方案,争取血管瘤和含铁血黄素层全切,同时恰当处理好存在的致痫灶,是治愈海绵状血管瘤和控制癫痫发作的有效手段。
Abstract:
Objective To investigate the clinical features, microsurgical treatment and clinical outcomes of temporal cavernous angiomas (CAs) initially presenting with seizures. Methods The clinical data of 14 patients with temporal CAs initially presenting with seizures were analyzed retrospectively, including the clinical manifestations, operative approaches and clinical outcomes. The optimal operative plans were discussed. Results CAs and hemosiderin zones were resected in 7 patients and CAs, hemosiderin zone and epileptogenic foci were removed in 7 patients. All the patients were postoperatively followed up from 1 to 2 years. The remission rate of seizures was significantly improved and according to the Engel prognosis criteria for epilepsy surgery, the epileptic control reached Engel gradeⅠin 8 patients, grade Ⅱ in 4, grade Ⅲ in 1, and grade Ⅳ in 1. No CAs recurrence was detected by MRI during the following-up in all the patients. Conclusions The detailed preoperative assessment and individual operative plans should be made in the patients with temporal CAs initially presenting with seizures, in whom CAs and hemosiderin zones should be resected as totally as possible and appropriate removal of epileptogenic foci are reasonable. The above-mentioned operative Methods are important to curing CAs and controlling seizures.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:国家临床重点专科建设项目
更新日期/Last Update: 2016-08-19