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颞叶癫痫痫灶切除的临床和病理学研究(附30例分析)

CLINICAL AND PATHOLOGICAL RESEARCH OF RESECTION OF TEMPORAL EPILEPTOGENIC FOCUS
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摘要 报告30例颞叶癫痫手术治疗的经验。其中小发作伴大发作者12例,限局性发作伴精神运动性发作8例,全身性大发作10例。术前均行脑电图检查,在颞叶内找到痫灶的棘波区。手术切除前颞叶及内基底区9例,颞极部10例,前颞叶新皮层6例,颞叶外侧及底面5例。病理检查发现均为器质性病变引起。治疗结果满意,有效率达93%。作者指出,痫灶定位要靠脑电图检查,术中必须用皮层电极仔细寻找棘波灶,在不影响主要机能情况下把棘波灶切除干净,这是获得良好疗效的关键。 This article reports the experience of treatment of 30 cases of temporal epilepsy with surgery. There were 15 male patients and 15 female. The duration of the disease ranged from 5 to 37 years with an average of 13.6 years. 12 patients suffered from grand and petite mal, 8 Jacksonian accompanied by psychomotor epilepsy, and 10 grand mal. Before the operation, the focus with sporadic spikes was found in the temporal lobe with electroencephalogram. Operation: the temporal pole and the medi-basal region were removed in 9 cases, anterior portion of the temporal nesiolobe in 10 cases, temporal neocortical of the temporal lobe in 6 cases, dorsolateral and laterobasal parts in 5 cases. Organic pathological changes were confirmed in all cases by pathological examination. Clinical result of all cases was satisfactory, with an effective rate of 93%. The clinical and pathological changes of epilepsy and efficacy of the treatment are discussed. It is stressed that the localization of the focus of epilepsy depe nds mainly on electroencephalogram. It is very important to look for sporadic spikes using cortical electrode during operation, and complete eradication of the focus is the key to achieve a good treatment effect.
出处 《解放军医学杂志》 CAS CSCD 北大核心 1991年第6期415-418,共4页 Medical Journal of Chinese People's Liberation Army
关键词 颞叶癫痫 痫灶切除 皮层电极 Temporal epilepay Cortical electrode Epileptogenic focus resection
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