伽玛刀治疗顽固性癫痫的初步报告

Intractable epilepsy treat with gama - knife

目的探讨伽玛刀治疗顽固性癫痫的可行性、术前评估及疗效。方法37例顽固性癫痫患者综合MRI、VEEG、MEG等资料确定癫痫灶部位，行伽玛刀治疗。周边剂量10～18Gy／50％。结果按国际癫痫学会外科手术疗效分类法，有效率83．8％。在心理状态、智商等方面也得到明显改善。结论伽玛刀治疗顽固性癫痫安全、有效，可作为手术治疗顽固性癫痫的有益补充。

Objective To study the feasibility, preoperative evaluation, curative effect of gama - knife in the treatment of intractable epilepsy. Method The epileptic lesions of 37 intractable epilepsy patients were located by MRI, VEEG and MEG and were treated with gama - knife. The border dosage was 10- 18 Gy/50% . Results The effective rate was 83.8% acording to the operative taxonomy of international epileptology institute. The improvements of mental and intelligence states were also observed. Condusions Gama - knife radiotherapy is a safe and effective method for the treatment of intractable epilepsy and may be a supplementary choice of surgery.