CAJ | 학술논문

目的探讨经侧裂选择性杏仁核海马切除术(TSSAH)治疗颞叶内侧癫痫(MTLE)的效果和手术并发症.方法对2005年至2008年采用TSSAH治疗的18例MTLE患者进行回顾性分析及随访.结果海马海绵状血管瘤4例(其中2例合并海马硬化),胶质瘤2例,海马硬化12例.术后随访6-37个月,Engel分级Ⅰ级(无发作)12例,Ⅱ级(仅先兆或偶发作)2例,Ⅲ级(发作显著减少)2例,Ⅳ级(发作无变化)2例.术后视野缺损9例,术区血肿1例,颅内感染1例,动眼神经损伤1例,无死亡、偏瘫及语言障碍.结论 TSSAH治疗MTLE临床疗效满意.
목적 탐토경측렬선택성행인핵해마절제술(TSSAH)치료섭협내측전간(MTLE)적효과화수술병발증.방법 대2005년지2008년채용TSSAH치료적18례MTLE환자진행회고성분석급수방.결과 해마해면상혈관류4례(기중2례합병해마경화),효질류2례,해마경화12례.술후수방6-37개월,Engel분급Ⅰ급(무발작)12례,Ⅱ급(부선조혹우발작)2례,Ⅲ급(발작현저감소)2례,Ⅳ급(발작무변화)2례.술후시야결손9례,술구혈종1례,로내감염1례,동안신경손상1례,무사망、편탄급어언장애.결론 TSSAH치료MTLE림상료효만의.
Objective To study the effect of selective amygdalohippocampectomy via the transsyivian approach(TSSAH) for the mesial temporal lobe epilepsy (MTLE). Method Retrospectively analyze seizure outcomes and operative complications of 18 patients with MTLE by TSSAH between Aug 2005 and Dec 2008. Results The pathologic changes were 4 cases cavernous haemangioma(2 of them with HS), 2 cases glioma, 12 cases hippocampai sclerosis. The follow-up period was 6 to 37 months. After surgery, 12 patients were Engel class Ⅰ (completely seizure free) ,2 patients were Engel class Ⅱ,2 patients were Engel class Ⅲ, and 2 patients were Engel class Ⅳ. Visual field deficits existed in 9 patients, 1 patient had haematoma in operative zone, 1 patient had intracranial infection and 1 patient had oculomotor injury, no death and hemiplegia. Conclusions TSSAH can lead to favorable seizure control with a low irreversible complication risk.