中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2009年
12期
1122-1124
,共3页
皮层脑电图%监测%癫痫,继发性
皮層腦電圖%鑑測%癲癇,繼髮性
피층뇌전도%감측%전간,계발성
ECoG%Monitoring%Epilepsy,secondary
目的 回顾分析皮层脑电图(ECoG)监测下致痫灶切除治疗继发性癫痫的手术情况,探讨ECoG对继发性癫痫的治疗价值.方法 通过术中ECoG监测,对原发灶切除结合外周皮层低功率热灼的方法治疗62例继发性癫痫(其中脑膜瘤15例,胶质瘤18例,海绵状血管瘤15例,蛛网膜囊肿5例,外伤后软化灶5例,表皮样囊肿2例,动静脉畸形2例)的观察,分析ECoG监测在继发性癫痫手术中的意义.结果 术后常规脑电图检查均未见癫痫波,术后无一例死亡或出现新的功能障碍.术后随访10个月-3年,2例尚有部分性发作,但发作频率减少在90%左右,应用抗癫痫药物治疗后未再有癫痫发作.结论 对于颅脑占位性病变合并的继发性癫痫,术中ECoG监测对于指导癫痫灶的处理是必不可少的.
目的 迴顧分析皮層腦電圖(ECoG)鑑測下緻癇竈切除治療繼髮性癲癇的手術情況,探討ECoG對繼髮性癲癇的治療價值.方法 通過術中ECoG鑑測,對原髮竈切除結閤外週皮層低功率熱灼的方法治療62例繼髮性癲癇(其中腦膜瘤15例,膠質瘤18例,海綿狀血管瘤15例,蛛網膜囊腫5例,外傷後軟化竈5例,錶皮樣囊腫2例,動靜脈畸形2例)的觀察,分析ECoG鑑測在繼髮性癲癇手術中的意義.結果 術後常規腦電圖檢查均未見癲癇波,術後無一例死亡或齣現新的功能障礙.術後隨訪10箇月-3年,2例尚有部分性髮作,但髮作頻率減少在90%左右,應用抗癲癇藥物治療後未再有癲癇髮作.結論 對于顱腦佔位性病變閤併的繼髮性癲癇,術中ECoG鑑測對于指導癲癇竈的處理是必不可少的.
목적 회고분석피층뇌전도(ECoG)감측하치간조절제치료계발성전간적수술정황,탐토ECoG대계발성전간적치료개치.방법 통과술중ECoG감측,대원발조절제결합외주피층저공솔열작적방법치료62례계발성전간(기중뇌막류15례,효질류18례,해면상혈관류15례,주망막낭종5례,외상후연화조5례,표피양낭종2례,동정맥기형2례)적관찰,분석ECoG감측재계발성전간수술중적의의.결과 술후상규뇌전도검사균미견전간파,술후무일례사망혹출현신적공능장애.술후수방10개월-3년,2례상유부분성발작,단발작빈솔감소재90%좌우,응용항전간약물치료후미재유전간발작.결론 대우로뇌점위성병변합병적계발성전간,술중ECoG감측대우지도전간조적처리시필불가소적.
Objective To retrospectively study the original lesion resection for the treatment of secondary epilepsy with ECoG monitoring daring operations and discuss the value of intraoperative ECoG monitoring. Methods By means of observing the treatment of 62 patients with secondary epilepsy, we analyzed the significance of intraoperative ECoG monitoring in the treatment of secondary epilepsy with the original lesion resection and peripheral cortices fulguration of low energy. Among the 62 cases, 15 patients were meningiomas,18 were gliomas,15 were cavernous hemangiomas,5 were arachnoid cysts, 5 were post-traumatic changes,2 were epidermoid cysts and 2 were arteriovenous malformations. Results There was no epileptic wave in all patients with regular postoperative EEG. 62 patients were survived from the operations without newly occurred malfunction. A follow-up investigation lasting from 10 months to 3 years revealed that there was no epilepsy recurrence in all the patients except for partial epilepsy recurrence in two patients. But their recurrence frequency reduced for about 90% and the epilepsy recurrence was not found in these two patients after the treatment with antiepileptic drugs.Conclusion In the treatment of intracranial occupying lesions accompanied with secondary epilepsy, the monitoring of ECoG during surgery is necessary for the guidance of the original lesion resection.
