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伴有癫癇发作的脑内病灶的手术治疗

机译:伴有癫痫发作的脑内病灶的手术治疗

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摘要

Objective To study the surgical outcome of intracerebral lesion with epilepsy. Methods 24 cases were studied. EEG showed that localized epileptiform waves were found in 13 cases, localized slow waves in 5 cases, and no epileptiform wave in 6 cases. All cases were performed ECoG monitoring during the operations. 11 patients whose epileptogenic foci were in the surface of lesions or adjacent to the edge of lesions received clearance of focal lesion plus epileptogenic foci resection. Among 8 patients whose epileptogenic foci were more than 10 mm distance from the edge of lesion, 6 received clearance of focal lesion plus cortical excision whose epileptogenic foci were in the area of nonfunctional cortexes, 2 plus partial cortex thermocoagulation whose epileptogenic foci were in the area of functional cortexes. 2 cases whose epileptogenic foci in the depth of anterior temporal lobe received anterior temporal lobotomy plus clearance of focal lesion. 3 patients with no epileptiform wave received clearance of focal...
机译:目的探讨脑病合并癫痫的手术效果。方法研究24例。脑电图显示,局部有癫痫样波13例,局部慢波5例,无癫痫波6例。所有病例均在手术过程中进行了ECoG监测。 11例癫痫灶位于病灶表面或靠近病灶边缘的患者接受了病灶清除和癫痫灶切除。在8例癫痫病灶距病变边缘超过10 mm的患者中,有6例接受了局灶性病变的清除+皮层切除术,其癫痫病灶位于无功能性皮层区域,2例加上部分皮质热凝治疗而癫痫病灶位于该区域。功能皮质。 2例前颞叶深度的致癫痫灶接受了前颞叶切除术并清除了病灶。 3例无癫痫波的患者接受了局灶性脑室间隙清除术

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