蛛网膜囊肿伴癫痫的外科治疗

Surgical Treatment of Arachnoid Cyst in Patient with Epilepsy

目的 探讨颅内蛛网膜囊肿(arachnoid cyst,AC)与癫痫的关系以及外科治疗方法。方法 手术治疗23例颅内大脑凸面蛛网膜囊肿(AC)伴癫痫病人,采用AC和致痫灶切除21例,AC-腹腔分流术1例,胼胝体切开术1例。结果 23例病人中,完全不发作有5例,显著改善有11例,无变化7例。结论 颅内AC可引起癫痫,采用AC和致痫灶切除效果较为理想。

Objective To evaluate the pathogenic relationship between intracranial arachnoid cyst (AC) and epilepsy, and assess the optimal method of treatment. Methods The clinical data of 23 patients suffering from AC and epilepsy, who had underwent surgical treatment, were analyzed retrospectively. Resections of AC and epileptogenic zones were performed in 21 cases, cysto-peritoneal shunt in 1 and callosection in another 1 case. Results Postoperative follow-up demonstrated that, 5 patients were seizure-free, 11 patients were improved, and 7 patients remained unchanged. Conclusions Intracranial AC usually is the cause of epilepsy. Resection of AC and epileptogenic zones is a relatively ideal option of treatment.