临床神经病学杂志2013，Vol.26Issue(3)：210-212,3.
皮质脑电图在脑海绵状血管瘤所致癫痫手术中的应用研究
Study of application of electrocorticography in surgical operation of epilepsy caused by brain cavernous angioma
钱苏荣 1肖其华 1王晨 1吴建东 1黄思庆2
作者信息
- 1. 苏州市立医院北区神经外科
- 2. 四川大学华西医院神经外科
- 折叠
摘要
Abstract
Objective To investigate the effects of electrocorticography (ECoG) in surgical operation of epilepsy caused by brain cavernous angioma (BCA).Methods The 85 epileptogenic BCA patients were located epileptogenic focusi with ECoG monitoring,to guide the operation treatment.Follow-up and curative effect evaluation of patients were performed after the operation.Results The dissemination of spike waves all patients were found with ECoG monitoring durin operation,and only 56 cases showed spike waves at preoperative scalp EEG examination.The intraoperative ECoG also found new epileptogenic focus in 31 cases.All patients were conducted epileptogenic zone resection (non-functional area) or low power hot burning operation (functional area) under the ECoG monitoring.The average follow-up period was 3.4 years after the operation.The 61 cases (71.8％) were effects satisfaction (epilepsy seizure free),18 cases(21.2％) were effective(seizure reduced ≥50％),6 cases(7.1％) were not fine (seizure reduced ＜ 50％) ; The rate of total efficiency (satisfaction + effective) was 92.9％.Conclusion ECoG monitoring can accurately localized epileptogenic focus in the operation of epilepsy caused by BCA,significantly improve the curative effect of the operation.关键词
脑海绵状血管瘤/癫痫/皮质脑电图/手术治疗Key words
brain cavernous angiomas/ epileptic seizure/ electrocorticography/ operation treatment分类
医药卫生引用本文复制引用
钱苏荣,肖其华,王晨,吴建东,黄思庆..皮质脑电图在脑海绵状血管瘤所致癫痫手术中的应用研究[J].临床神经病学杂志,2013,26(3):210-212,3.
