大脑半球切开术一例报道并文献复习

Hemispherotomy:one case report and brief review of the literature

目的通过我们的1例患者探讨大脑半球切开术的操作技术并附有简单的文献复习。方法 1例12岁女孩,诊断为药物难治性癫痫。临床表现为简单部分性发作,发作频繁。影像学显示左侧大脑半球弥漫性软化灶。经过充分的术前准备,在导航系统引导下行改良的经岛周大脑半球切开术,手术过程顺利。结果术后患者恢复良好,右侧肢体运动功能无明显下降,言语功能正常。术后随访6个月未再有癫痫发作。结论结合文献复习,大脑半球切开术是功能性大脑半球切除术的彻底改良,手术操作可行,具有和大脑半球切除术相同的疗效,远期并发症明显减少。

Objective To report our first case of hemispherotomy and review the literature in brief.Methods A 12 years old girl who was diagnosed as refractory epilepsy for 9 years.MRI showed diffused malacoma like change at her left hemisphere.After sufficient preoperative preparation the girl underwent left modified peri-insula hemispherotomy with the assistant of neuronavigation.The patient tolerated the procedure well.Results The epilepsy seizure stopped immediately after the operation without obvious new motor deficit.Conclusion According to our case and literatures,we can draw a conclusion that hemispherotomy is feasible and as effective as hemispherectomy but with less late complications.