CAJ | 학술논문

目的报告3例裂脑病儿局灶性癫痫并文献回顾.方法 3例男性患儿,平均年龄13.3岁,癫痫发作平均为4.3年,均为右利手.所有患儿术前根据临床表现、神经影像、脑电图、神经心理学评定,诊断为裂脑畸形,均行开颅手术切除病变的裂脑.结果 3例术后恢复良好,无癫痫发作.病理证实为裂脑.结论临床证实难治性癫痫患儿的痫灶为局灶性起源及裂脑畸形.在皮质脑电图监测下彻底切除病变,是有效的治疗方法.
목적 보고3례렬뇌병인국조성전간병문헌회고.방법 3례남성환인,평균년령13.3세,전간발작평균위4.3년,균위우리수.소유환인술전근거림상표현、신경영상、뇌전도、신경심이학평정,진단위렬뇌기형,균행개로수술절제병변적렬뇌.결과 3례술후회복량호,무전간발작.병리증실위렬뇌.결론 림상증실난치성전간환인적간조위국조성기원급렬뇌기형.재피질뇌전도감측하철저절제병변,시유효적치료방법.
Objective To report three children suffered from focal epilepsy with schizencephaly treated surgically and review the correlative literature.Methods 3 male children were right-handed.the average age was 13.3 years and the epileptic attack was 4.3 years on average.All the children were diagnosed with schizencephaly malformation preoperatively,viz.according to the clinical manifestation,epileptic attack,neuroimaging,EEG,and the assessment of neuropsychology.The epileptogenic lesions were resected through craniotomy.Results Total resection was achieved and the seizure disappeared postoperatively.All the lesions were confirmed as the schizencephaly.Conclusion The epileptic focus of refractory epilepsy in children was originated from schizencephaly,surgery should be seriously considered as an effective method by using minimally invasive technique and cortical-EEG monitoring.