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致灶切除治疗无病灶中央区癫
引用本文:倪端宇,蔡立新,张国君,乔梁,遇涛,李勇杰. 致灶切除治疗无病灶中央区癫[J]. 中国微侵袭神经外科杂志, 2011, 16(6): 251-253
作者姓名:倪端宇  蔡立新  张国君  乔梁  遇涛  李勇杰
作者单位:首都医科大学宣武医院功能神经外科北京功能神经外科研究所,北京,100053
基金项目:首都医学发展基金项目(编号:2009-2086)
摘    要:目的总结致灶切除术治疗无病灶中央区癫的诊治经验。方法回顾性分析11例无病灶中央区癫病人的临床资料,所有病人均放置颅内电极,采用皮质脑电图监测定位癫发作起源区,皮质电刺激定位功能区,采用术中唤醒行致灶切除术。结果随访11例,时间17~32个月,按照Engel分级:Ⅰ级3例,Ⅱ级3例,Ⅲ级2例,Ⅳ级3例。术后出现肢体功能障碍3例,其中2例分别于术后2周及3个月恢复;残留手指活动不灵1例。结论在颅内电极精确定位功能区及致灶的前提下,采用致灶切除术治疗无病灶中央区癫,可获得满意疗效。

关 键 词:癫  中央区  致灶  神经外科手术  预后  

Resection of the epileptogenic focus for nonlesional perirolandic epilepsy
Ni Duanyu,Cai Lixin,Zhang Guojun,Qiao Liang,Yu Tao,Li Yongjie. Resection of the epileptogenic focus for nonlesional perirolandic epilepsy[J]. Chinese Journal of Minimally Invasive Neurosurgery, 2011, 16(6): 251-253
Authors:Ni Duanyu  Cai Lixin  Zhang Guojun  Qiao Liang  Yu Tao  Li Yongjie
Affiliation:Ni Duanyu,Cai Lixin,Zhang Guojun,Qiao Liang,Yu Tao,Li Yongjie Department of Functional Neurosurgery,Beijing Institute of Functional Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China
Abstract:Objective To review experiences in the diagnosis and surgical treatment of epileptogenic focus in nonlesional central epilepsy.Methods The clinical data of 11 patients with nonlesional central epilepsy were analyzed retrospectively.All the patients were transplanted with intracranial electrodes.The epileptogenic area was localized by electrocorticography and functional area localized by cortical electrical stimulation.All the patients underwent resection of the epileptogenic zone in the condition of intraop...
Keywords:epilepsy  perirolandic  epileptogenic foci  neurosurgical procedures  prognosis  
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