CAJ | 학술논문

目的探讨岛叶癫痫的发作特点及手术策略,观察手术疗效.方法分析7例岛叶癫痫患者的术前评估结果,总结症状学特征、MRI、头皮及颅内电极视频脑电图检查的定位价值,应用Engel标准进行术后效果分级,随访观察术后疗效.结果左侧3例,右侧4例,发作主要表现:植物神经症状;躯体感觉、运动症状;语言、味觉、听觉障碍等症状.Engel分级Ⅰ级2例,Ⅱ级2例,Ⅲ级1例,2例术后3个月无发作.结论颅内电极置入是临床诊断岛叶癫痫的重要手段,手术切除可获得满意的癫痫控制效果.
목적 탐토도협전간적발작특점급수술책략,관찰수술료효.방법 분석7례도협전간환자적술전평고결과,총결증상학특정、MRI、두피급로내전겁시빈뇌전도검사적정위개치,응용Engel표준진행술후효과분급,수방관찰술후료효.결과 좌측3례,우측4례,발작주요표현:식물신경증상;구체감각、운동증상;어언、미각、은각장애등증상.Engel분급Ⅰ급2례,Ⅱ급2례,Ⅲ급1례,2례술후3개월무발작.결론 로내전겁치입시림상진단도협전간적중요수단,수술절제가획득만의적전간공제효과.
Objective To investigate the characteristics of insular seizures and surgical strategies,and to observe the efficacy of surgical treatment.Methods Preoperative evaluation results of seven patients with insular epilepsy were analyzed.Symptomatic characteristics,MRI,scalp video-EEG,and localization value of EEG examination with intracranial electrode were summarized.Engel standards were applied to grade postoperative effects.Patients were followed to observe the efficacy after operation.Results In the seven patients,lesions of three cases were on the left and four cases were on the right.Their symptoms were mainly as follows:autonomic symptoms ; somatosensory and motor symptoms ; language,taste,hearing disorders and other symptoms.Two cases were graded at level Ⅰ,two cases were graded at level Ⅱ,one case was graded at level,two cases were seizure free for three months according to Engel standards.Conclusions Placement of intracranial electrode is an important means for the clinical diagnosis of insular epilepsy.Satisfactory seizure control can be obtained by surgical resection for insular epilepsy.