期刊文献+

脑磁图在神经外科中的定位价值——附26例癫痫患者术前病灶定位分析

THE SIGNIFICANCE OF MAGNETOENCEPHALOGRAPHY(MEG)IN NEUROSURICAL LOCALIZATION——ADDED BY ANALYSIS OF PRE-OPERATION LESION LOCALIZATION OF 26 CASES OF EPILEPTIC
下载PDF
导出
摘要 目的探讨脑磁图在神经外科中的定位价值。方法本组 26例神经外科患者,男18例,女8例,术前均行脑电图(Electroencephalogram, EEG)检查和影象学检查,同时做了脑磁图(Magnetoencephalograph,MEG)检查。所有患者手术均在MEG指导下进行,术中加用皮层脑电图(Electrocorticography, EcoG)监测。结果 26例患者均能通过MEG进行术前致痫灶与功能定位,其阳性率明显高于EEG和影象学检查。术后复查EEG,25例患者较好,短期随访(1~3月)患者癫痫发作完全消失。结论 MEG是神经外科中的一项术前致痫灶定位和功能保护的有效检查方法。 Objective To explore the significance of MEG in the localization of neurosurgery, Method There were 26 patients in this group, with male 18 and female 8. All the patients underwent electroencephalography(EEG)and imaging examination before operation. Meanwhile they had MEG examination, Under the guidance of MEG, all the patients were operated on. During the operation, electrocorticography(EcoG)was performed. Result MEG examination showed that there was abnormality in all patients. The positive rate was higher than EEG and imaging examination. At the same time the result of MEG agreed with EcoG monitoring. The postoperative EEG examination revealed that 22 patients had good result,The short-time follow-up showed that complete seizurecessation was achieved in 25 patients. Conclusion MEG is an effective location method of epileptogenic lesion and function preservation before operation.
出处 《现代医院》 2002年第2期9-12,共4页 Modern Hospitals
关键词 癫痫 脑磁图 功能性外科 Epilepsy MEG Functional surgery
  • 相关文献

参考文献9

  • 1[1]Baumgartner C, Pataraia E, Lindinger G et al. Magnetoencephalography in focal epilepsy. Epilepsia 2000; 41 (Suppl. 3) :S39 - S47
  • 2[2]Hummel C, Stefan H. Magnetoencephalography. Epilepsia 1997; 38(Suppl. 10) :52 - 57
  • 3[3]Wheless JW, Willmore LJ, BreierJI, etal. Acomparisonofmagnetoencephalography, MRI, and V- EEG in patients evaluated for epilepsy surgery. Epilepsia 1999; 40:931 - 941
  • 4[4]Lamusuo S, Forss N, Ruottinen HM, et al. PET and whole- scalp MEG localization of epileptogenic cortex. Epilepsia 1999; 40:921 -930
  • 5[5]Forss N. Magnetoencephalography in epilepsy surgery. Acta Neurochir 1997; 68:81-84
  • 6[6]David YK, Conrad K, David S. et al. Some localization determined by MEG and EEG in temporal lobe epilepsy: comparision with EcoG. Neurosurgery 1998;42:414 - 422
  • 7[7]Ishibashi H, Morioka T, Shigeto H, et al. Magnetoencephalographic evaluation of anterior corpus callosotomy for intractable epilepsy in a patient with Lennox- Gastaut syndrome. J Epilepsy. 1998; 11:202- 207
  • 8[8]Kirchberger K, Hummel C, Stefan H. Postoperative multichannel magnetoencephalography in patients with recurrent seizures after epilepsy surgery. Acta Neurol Scand 1998; 98:1 - 7
  • 9[9]Morioka T, Yamamoto T, Nishio S. et al. Magnetoencephalographic features in neurocysticercosis. Surg Neurol 1995; 45:176- 182

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部