单纯脑皮层电凝热灼术治疗功能区癫痫

目的 探讨单纯脑皮层电凝热灼术治疗功能区癫痫的方法 与疗效.方法 回顾性分析单纯应用脑皮层电凝热灼术治疗的15例功能区癫痫患者,观察术后并发症及治疗效果.结果 7例出现对侧肢体不同程度偏瘫,2例热灼颞叶及颞枕皮层患者无语言视力等功能缺失.术后无一例患者颅内出血及感染.Engel癫痫术后评分,其中Ⅰ级6例,Ⅱ级2例,Ⅲ级5例,Ⅳ级2例.结论 单纯低功率电凝热灼功能区致痫灶,操作简便,安全有效.

Clinical study of pure electro - coagulation on cerebral cortex for epilepsy involving eloquent areas

Objective To investigate the surgical methods and effectiveness of pure electrocoagulation on cerebral cortex for epilepsy involving eloquent areas. Method 15 patients who underwent pure electro - coagulation on cerebral cortexes for epilepsy involving eloquent areas from 2002 to 2008 were evaluated retrospectively. The seizure outcome and complications were described. Results Seven patients had hemiparesis after operation. All neurological deficits were temporary in the sense that they ultimately did not result in a deficit that would be noticed during a standard clinical examination. There were no subdural hemorrhage and infection. Six of the 15 patients were Engel Class Ⅰ , two were Class Ⅱ , five were Class Ⅲ, and two were Class Ⅳ. Conclusions Seizures could be effectively controlled through pure electrocoagulation on cerebral cortexes for epilepsy involving eloquent areas, and minimal neurological function was impaired.