中国临床神经外科杂志
中國臨床神經外科雜誌
중국림상신경외과잡지
CHINESE JOURNAL OF CLINICAL NEUROSURGERY
2012年
10期
608-610
,共3页
杜浩%别毕洲%徐国政%宋健%黄河%吴越%向露
杜浩%彆畢洲%徐國政%宋健%黃河%吳越%嚮露
두호%별필주%서국정%송건%황하%오월%향로
海绵状血管瘤%颞叶内侧癫痫%手术入路
海綿狀血管瘤%顳葉內側癲癇%手術入路
해면상혈관류%섭협내측전간%수술입로
Angiocavernomas%Mesial temporal lobe%Epilepsy%Surgical approach
目的探讨引起癫痫的颞叶内侧不同部位海绵状血管瘤(CA)的手术入路选择.方法对3例位于颞叶内侧不同部位CA导致癫痫发作的患者,分别采取经侧裂入路、颞上沟入路及颞下回入路手术切除病灶.结果所有病例术中病灶显露满意,均予以完全切除.术后随访4~8个月,3例患者均无癫痫发作.结论对位于颞叶内侧不同部位的CA应根据病灶的部位选择不同手术入路,有利于充分显露并完全切除病灶.
目的探討引起癲癇的顳葉內側不同部位海綿狀血管瘤(CA)的手術入路選擇.方法對3例位于顳葉內側不同部位CA導緻癲癇髮作的患者,分彆採取經側裂入路、顳上溝入路及顳下迴入路手術切除病竈.結果所有病例術中病竈顯露滿意,均予以完全切除.術後隨訪4~8箇月,3例患者均無癲癇髮作.結論對位于顳葉內側不同部位的CA應根據病竈的部位選擇不同手術入路,有利于充分顯露併完全切除病竈.
목적탐토인기전간적섭협내측불동부위해면상혈관류(CA)적수술입로선택.방법대3례위우섭협내측불동부위CA도치전간발작적환자,분별채취경측렬입로、섭상구입로급섭하회입로수술절제병조.결과소유병례술중병조현로만의,균여이완전절제.술후수방4~8개월,3례환자균무전간발작.결론대위우섭협내측불동부위적CA응근거병조적부위선택불동수술입로,유리우충분현로병완전절제병조.
Objective To explore the approaches of surgery for mesial temporal lobe epilepsy (MTLE) induced by angiocavernomas. Methods The surgery through three approaches including lateral fissure, superior temporal sulcus and subtemporal approaches was performed respectively in 3 patients with MTLE induced by angiocavernomas. Results The exposures produced by the surgery with little damage to the structure around lesions were enough to totally resect the lesions in all the patients, in whom the angiocavernomas were totally removed. There were not seizures in all the patients during the follow-up from 4 to 8 months. Conclusions The optimal approach of surgery for MTLE induced by the lesions should be selected according to the different location of the lesions in the mesial temporal lobe, and it is advantageous to the fine exposure and total removal of the lesions.