临床神经外科杂志Issue(3)：202-204,208,4.DOI:10.3969/j.issn.1672-7770.2015.03.012
磁共振表现为一侧海马硬化的颞叶癫痫手术治疗长期随访结果
Long-term surgical outcome of temporal lobe epilepsy with unilateral hippocampal ;sclerosis on MRI
摘要
Abstract
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 .关键词
颞叶癫痫/海马硬化/手术/疗效Key words
temporal lobe epilepsy/hippocampal sclerosis/surgery/outcome分类
医药卫生引用本文复制引用
张小斌,姚一,谭启富,江建东,黄德志,高志莹,林志红,刘小伟..磁共振表现为一侧海马硬化的颞叶癫痫手术治疗长期随访结果[J].临床神经外科杂志,2015,(3):202-204,208,4.基金项目
南京军区医学科技创新重点课题 （）
