中风与神经疾病杂志2019，Vol.36Issue(3)：237-241,5.
局灶性皮质发育不良合并难治性癫痫患者头部MRI融合PET-CT进行术前评估的价值
Diagnostic and therapeutic value of brain PET-MRi fusion image in cerebral cortical dysplasia manifested as re-fractory epilepsy
MENG Shushu 1KONG Qingxia.1
作者信息
- 1. JiNing Medical Vniversity
- 折叠
摘要
Abstract
Objective To investigate the application value of brain PET-MRI fusion image in focal cortical dysplasia ( FCD). And to summarize the prognosis of patients after treatment,and to seek a more reasonable diagnosis and treatment plan for the majority of patients with epilepsy. Methods A retrospective analysis of the clinical manifestations,imaging breakthroughs,video EEG features and surgical outcomes of 23 patients with refractory epilepsy who underwent neurosurgery and pediatric treatment from January 2017 to August 2018 in our hospital. Results The types of seizures in patients with refractory epilepsy were various,but the primary seizures were mainly caused by focal seizures;The lesions were more com-mon in 15 cases of temporal lobe,6 cases of frontal lobe and 2 cases of parietal lobe;Patients with epilepsy sequence MRI and video EEG found lesions,3 patients with epilepsy sequence magnetic resonance and video EEG failed to determine a clear epileptogenic focus,perfect PET-MRI fusion imaging found epileptic focal. Therefore the patients with negative MRI in the brain,the lesions are were mainly detected by PET-MRI;the EEG epileptiform discharge site and the PET-MRI fusion imaging have had higher consistency,discharge and seizures. There was no significant correlation between form and FCD classification;The twenty three patients had significantly fewer seizures after surgery,and some did not recur. Conclusion FCD patients with refractory epilepsy can be preoperatively evaluated by PET-MRI fusion imaging combined with video brain computerization. The treatment of epileptogenic foci and surgical resection of epileptic foci can achieve a good prognosis.关键词
局灶性皮质发育不良/难治性癫痫/视频脑电图/颅脑PET-MRI融合Key words
Focalcorticaldysplasia/Refractoryepilepsy/VideoEEG/BrainPET-MRIfusion.分类
医药卫生引用本文复制引用
MENG Shushu,KONG Qingxia...局灶性皮质发育不良合并难治性癫痫患者头部MRI融合PET-CT进行术前评估的价值[J].中风与神经疾病杂志,2019,36(3):237-241,5.
