皮质电图监测下癫痫的手术治疗

Surgical treatment of epilepsy with ECoG monitoring

介绍60例用皮质脑电图监测下对药物难以控制的局限性癫痫的手术治疗,在不影响神经功能情况下尽可能切除癫痫灶,控制癫痫发作。手术有效率达80％,术后能随访者其性情、智力、记忆力及学习、工作能力均有明显好转,全组无1例手术死亡及明显并发症发生。

60 cases of obstinate epilepsy were operated by the resection of epileptogenic loci under ECoG control were reported. Among these, 39 cases with grand real, 12 psychomotor seizure followed by grand mal, 6-simple psychomotor seizure and 3-semilateral seizure The pathological findings were gliosis or neurocytic degeneration, in 27 cases, obscure microvascular malformation or cerebral atrophy of temporal pole15, the early stage of glioma-11, fibrous proliferation and or scar formation-5, aracknoidal cyst, congenital porencephalia and tuberculosis in case respectively. Good results were obtained postoperatively including reduction of seizures arid violent behaviors, improvement of in telligence and memory, and elimination of epileptic wave on EgG obviously. No operative mortality and postoperative complications were found. The princepleand methods for determining the epileptogenic loci were also discussed in detail,