临床神经外科杂志2018，Vol.15Issue(3)：165-169,5.DOI:10.3969/j.issn.1672-7770.2018.03.002
枕叶癫痫的临床特点及手术治疗策略
Clinical features and surgical treatment strategy of occipital lobe epilepsy
摘要
Abstract
Objective To explore the clinical features and surgical treatment strategy of occipital lobe epilepsy .Methods The clinical data of 14 patients with occipital lobe epilepsy who were confirmed by noninvasive preoperative evaluation or invasive stereotactic electroencephalography ( SEEG ) technique from June 2014 to June 2017 in our department were analyzed retrospectively and relevant literatures were reviewed .Results Four patients with low-grade developmental tumors underwent direct craniotomy which included the lesion and the epileptiform discharge area .In one case , only the lesion was excised because no epileptiform discharge was detected in surgery .10 patients underwent SEEG technique to determine the epileptogenic zone before surgery .2 underwent SEEG-guided radiofrequency thermocoagulation and the others underwent craniotomy .The main complication after the operation was visual field defect or original visual field defect worse .After the operation , anti-epileptic drugs were routinely taken .The follow-up from 6 months to 3 years showed there were 12 cases of Engle classⅠ,1 Engle classⅢand 1 Engle class Ⅳ.Conclusions Although the clinical manifestation of occipital lobe epilepsy is complex ,scalp electroencephalography has limited significance in locating the side , it still can be accurately diagnosed through detailed normative preoperative evaluation , especially the evolution of symptoms and stereoscopic EEG monitoring techniques .Furthermore , it can obtain good result by taking individualized surgical treatment strategies .关键词
枕叶癫痫/立体脑电图/手术治疗策略Key words
occipital lobe epilepsy/stereotactic electroencephalography/surgical treatment strategy分类
医药卫生引用本文复制引用
华刚,谭红平,张立民,郭强,朱丹..枕叶癫痫的临床特点及手术治疗策略[J].临床神经外科杂志,2018,15(3):165-169,5.基金项目
广东省医学科研基金(B2018169) （B2018169）
