CAJ | 학술논문

目的探讨儿童颅内蛛网膜囊肿伴发癫痫的显微外科治疗的疗效.方法回顾性分析30例患儿的临床资料,术前均采用影像学及神经电生理的检查严格评估手术方案,术中均采用皮质脑电图检测,依据术中癫痫波的情况,选择采用囊肿切除、致痫灶切除、辅助以多处软脑膜下横纤维切断术、脑皮层横行纤维低功率热灼术等治疗.术后正规服药半年到1年.结果随访半年至6年,24例患儿获治愈,按Engel分级Ⅰ～Ⅱ级为80%,无明显并发症.结论儿童蛛网膜囊肿伴发癫痫经术中皮质脑电监测下显微外科治疗,可以取得良好的疗效.
목적 탐토인동로내주망막낭종반발전간적현미외과치료적료효.방법 회고성분석30례환인적림상자료,술전균채용영상학급신경전생리적검사엄격평고수술방안,술중균채용피질뇌전도검측,의거술중전간파적정황,선택채용낭종절제、치간조절제、보조이다처연뇌막하횡섬유절단술、뇌피층횡행섬유저공솔열작술등치료.술후정규복약반년도1년.결과 수방반년지6년,24례환인획치유,안Engel분급Ⅰ～Ⅱ급위80%,무명현병발증.결론 인동주망막낭종반발전간경술중피질뇌전감측하현미외과치료,가이취득량호적료효.
Objective To value the therapeutic effect of surgical treatment on pediatric intracranial arachnoid cysts associated epilepsy. Methods 30 patients were retrospectively analyzed. Preoperative neuroimaging scan and neuro-electrophysiological study were performed. Intraoperative electrocor-ticograms were carried out to locate the cysts before resection. They were then put on medication for 0.5 to 1 year post-operatively. Results All patients were follow-up for 0.5 to 6 years. Twenty four patients fully recovered. The curative rate was 80% for grade Ⅰ and Ⅱ (Eagel classification).There was no complicatioa Conclusions Surgical resection under electrocorticogram is an effective management for pediatric intracranial arachnoid cyst associated epilepsy.