CAJ | 학술논문

目的：探讨磁共振表现为一侧海马硬化的颞叶癫痫手术治疗长期疗效。方法对25例磁共振表现为一侧海马硬化的药物难治性颞叶癫痫患者，在术中脑电监测下行裁剪式前颞叶切除术，术后长期随访，评估癫痫控制效果。结果术后疗效良好，癫痫控制效果按ILAE分类法，术后1年76％患者达1级，4％为2级，16％为3级，4％为5级；术后3年68％为1级，4％为2级，24％为3级，4％为5级；术后5年65％为1级，29％为3级，6％为5级。结论手术治疗磁共振表现为一侧海马硬化颞叶癫痫长期疗效满意，患者生活质量改善。
목적：탐토자공진표현위일측해마경화적섭협전간수술치료장기료효。방법대25례자공진표현위일측해마경화적약물난치성섭협전간환자，재술중뇌전감측하행재전식전섭협절제술，술후장기수방，평고전간공제효과。결과술후료효량호，전간공제효과안ILAE분류법，술후1년76％환자체1급，4％위2급，16％위3급，4％위5급；술후3년68％위1급，4％위2급，24％위3급，4％위5급；술후5년65％위1급，29％위3급，6％위5급。결론수술치료자공진표현위일측해마경화섭협전간장기료효만의，환자생활질량개선。
Objective To investigate long term surgical outcome of temporal lobe epilepsy with unilateral hippocampal sclerosis on MRI .Methods 25 refractory temporal lobe epilepsy patients with MRI demonstrating unilateral hippocampal sclerosis were included .All the patients were processed anterior temporal lobectomy under intraoperative electrocorticogram (ECoG) monitoring. The seizure outcome were analyzed after long-term follow-up.Results The outcome was favorable . With ILAE classification, 1 year postoperatively 76%belonged in class 1, 4%in class 2, 16%in class 3 and 4%in class 5.3 years postoperatively , 68%belonged in class 1,4%in class 2, 24%in class 3 , and 4%in class 5 ,5 years postoperatively , 65% belonged in class 1 , 29% in class 3 and 6% in class 5.Conclusion The long-term surgical outcome of temporal lobe eiplepsy with unilateral hippcampal sclerosis on MRI is favorlable ,the quality of life for patients was improved .