摘要
目的探讨脑软化灶相关癫的手术治疗方案和效果。方法总结近3年来经结构影像诊断为脑软化灶,通过电生理技术和功能影像完成癫灶诊断并接受手术治疗的24例病人的诊治过程、治疗效果及相关影响因素。结果随访结果按Engel分级,Ⅰ级9例,Ⅱ级10例,Ⅲ级3例,Ⅳ级2例;脑软化灶的位置、切除程度和原因对手术效果无明显影响。手术并发症均在1周后恢复;无远期并发症。结论脑软化灶相关癫适合进行手术治疗,效果良好;手术效果与软化灶的部位、是否全切软化灶、软化灶的成因无关;对于额叶的外伤性软化灶相关的癫手术要慎重。
Objective To probe surgical methods and their curative effect of epilepsy associated with encephalomalacia. Methods Twenty-four patients who were diagnosed as having encephalomalacia by CT or MRI scan and whose epileptogenic foci were established by video- electroencephalographic (VEEG) and single photon emission computed tomography (SPECT) were reviewed for the diagnosis process, the therapeutic effect and their influence factors of the disease. Results Follow-up results were classified as class Ⅰ in 9 cases, class Ⅱ in 10, class Ⅲ in 3 and class Ⅳ in 2 according to Engel outcome classification system for epileptic surgery. Location, resection range and cause of encephalomalacia lesion had no significant effect on surgical results. The postoperative complications disappeared after one week and no long-term complications were observed. Conclusion Epilepsy associated with encephalomalacia can be treated by surgery with a good therapeutic effect, which is not related to location, whether total resection or not and cause of encephalomalacia. But as for patients with epilepsy caused by posttraumatic frontal lobe injury, surgery treatment should be cautious.
出处
《中国微侵袭神经外科杂志》
CAS
2004年第12期544-545,共2页
Chinese Journal of Minimally Invasive Neurosurgery
关键词
脑软化灶
手术
癫痫
encephalomalacia
surgery
epilepsy
