中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2011年
21期
1486-1489
,共4页
孟凡刚%孙振荣%张建国%葛明%张凯%杨岸超%胡文瀚%刘焕光%陈宁%白勤%史增敏
孟凡剛%孫振榮%張建國%葛明%張凱%楊岸超%鬍文瀚%劉煥光%陳寧%白勤%史增敏
맹범강%손진영%장건국%갈명%장개%양안초%호문한%류환광%진저%백근%사증민
癫痫,颞叶%脑电描记术%颅内电极
癲癇,顳葉%腦電描記術%顱內電極
전간,섭협%뇌전묘기술%로내전겁
Epilepsy,temporal lobe%Electroencephalography%Intracranial electrode
目的 探讨颅内电极长程记录在颞叶癫痫定位、定侧中的应用,评价其临床价值.方法 2006年1月至2010年10月北京天坛医院神经外科60例经颅内电极定位的颞叶癫痫患者,电极类型采用硬膜下条状、栅状以及深部电极,手术方式包括颅骨钻孔电极植入、立体定向深部电极植入和骨瓣开颅电极植入.结果 额-颞皮层电极植入34例,额-颞前-颞枕交界电极植入7例,双颞皮层电极植入7例,深部电极联合颞叶皮层电极植入7例,颞前-颞枕交界电极植入3例,条状电极联合栅状电极植入2例.手术方式包括前颞叶切除术50例,联合额叶致痫灶切除7例,联合胼胝体切开1例,颞后枕新皮层痫灶切除联合海马杏仁核切除2例.结论 颅内电极长程记录是一种有效的检查方法和重要的定位手段,可应用于无创评估方法难以定位、定侧的颞叶癫痫.
目的 探討顱內電極長程記錄在顳葉癲癇定位、定側中的應用,評價其臨床價值.方法 2006年1月至2010年10月北京天罈醫院神經外科60例經顱內電極定位的顳葉癲癇患者,電極類型採用硬膜下條狀、柵狀以及深部電極,手術方式包括顱骨鑽孔電極植入、立體定嚮深部電極植入和骨瓣開顱電極植入.結果 額-顳皮層電極植入34例,額-顳前-顳枕交界電極植入7例,雙顳皮層電極植入7例,深部電極聯閤顳葉皮層電極植入7例,顳前-顳枕交界電極植入3例,條狀電極聯閤柵狀電極植入2例.手術方式包括前顳葉切除術50例,聯閤額葉緻癇竈切除7例,聯閤胼胝體切開1例,顳後枕新皮層癇竈切除聯閤海馬杏仁覈切除2例.結論 顱內電極長程記錄是一種有效的檢查方法和重要的定位手段,可應用于無創評估方法難以定位、定側的顳葉癲癇.
목적 탐토로내전겁장정기록재섭협전간정위、정측중적응용,평개기림상개치.방법 2006년1월지2010년10월북경천단의원신경외과60례경로내전겁정위적섭협전간환자,전겁류형채용경막하조상、책상이급심부전겁,수술방식포괄로골찬공전겁식입、입체정향심부전겁식입화골판개로전겁식입.결과 액-섭피층전겁식입34례,액-섭전-섭침교계전겁식입7례,쌍섭피층전겁식입7례,심부전겁연합섭협피층전겁식입7례,섭전-섭침교계전겁식입3례,조상전겁연합책상전겁식입2례.수술방식포괄전섭협절제술50례,연합액협치간조절제7례,연합변지체절개1례,섭후침신피층간조절제연합해마행인핵절제2례.결론 로내전겁장정기록시일충유효적검사방법화중요적정위수단,가응용우무창평고방법난이정위、정측적섭협전간.
Objective To explore the application of intracranial electrodes (IE) for temporal lobe epilepsy ( TLE) surgery and assess the clinical utility of intracranial video electroencephalography (IVEEG). Methods The clinical data of 60 TLE patients undergoing implantation of IE were reviewed retrospectively. Cortical subdural strip, grids and depth electrodes were implanted by sphenotresia, bone disc craniototny or stereotactic technology. Results The implanted electrodes were as follows; frontaltemporal lobe cortical strip (n = 34), frontal-anterior temporal-occipitotemporal lobe cortical strip (n =7),bilateral temporal lobe cortical strip (n = 7), combined temporal lobe strip & depth (n =1) , anterior temporal-occipitotemporal junction cortical strip (n=3) and combined strip & grid (n=2). The following procedures were performed: anterior temporal lobectomy ( ATL) (n =50), combined ATL & frontal focal cortical resection (n = 7), combined ATL & callosotomy (n = 1 ) and combined neocortex epileptogenic focus resection & amygdalohippocampectomy ( n = 2 ). Conclusion IVEEG is effective and important for the localization of epileptogenic focus in patients with intractable temporal lobe epilepsy.
