海绵状血管瘤致颞叶内侧癫痫手术入路选择

目的探讨引起癫痫的颞叶内侧不同部位海绵状血管瘤（cA）的手术入路选择。方法对3例位于颞叶内侧不同部位CA导致癫痫发作的患者，分别采取经侧裂入路、颞上沟入路及颞下回入路手术切除病灶。结果所有病例术中病灶显露满意，均予以完全切除。术后随访4～8个月，3例患者均无癫痫发作。结论对位于颞叶内侧不同部位的CA应根据病灶的部位选择不同手术入路，有利于充分显露并完全切除病灶。

Approaches of surgery for mesial temporal lobe epilepsy induced by angiocavernomas

Objective To explore the approaches of surgery for mesial temporal lobe epilepsy(MTLE) induced by angiocavernomas.Methods The surgery through three approaches including lateral fissure,superior temporal sulcus and subtemporal approaches was performed respectively in 3 patients with MTLE induced by angiocavernomas.Results The exposures produced by the surgery with little damage to the structure around lesions were enough to totally resect the lesions in all the patients,in whom the angiocavernomas were totally removed.There were not seizures in all the patients during the follow-up from 4 to 8 months.Conclusions The optimal approach of surgery for MTLE induced by the lesions should be selected according to the different location of the lesions in the mesial temporal lobe,and it is advantageous to the fine exposure and total removal of the lesions.