癫痫型脑血吸虫肉芽肿的手术治疗

Surgical treatment of epilepsy with chronic cerebral schistosomiasis granuloma

目的总结有癫痫发作的脑血吸虫病肉芽肿的外科治疗经验。方法对武汉同济医院1955年以来,手术治疗的250例患者进行临床资料回顾性分析及术前评估。结果250例患者无手术死亡,随访196例,有180例癫痫术后得到控制。结论对于癫痫型脑血吸虫肉芽肿,在抗癫痫药物治疗无效及有明显颅内占位效应时都应尽早手术,术中的脑电监测是手术成功的关键。

Objective To study the surgical treatment of epilepsy with cerebral schistosomiasis granuloma （CSG）. Methods Clinical material of 250 cases with epilepsy caused by cerebral schistosomiasis from 1955 - 2004 was analyzed retrospectively. Results No case died. Follow - up for 196 cases showed epilepsy controlled in 180 cases after operation. Conclusions Surgical treatment should be considered when the drug therapy failed for epilepsy or the focus showed mass effect. Intraoperative electrocorticography monitoring is the key point of surgical treatment.