颞叶癫癎21例手术治疗分析

目的探讨颞叶癫癎的外科治疗方法及效果.方法 21例颞叶癫癎患者,术前均行EEG、MRI检查,其中6例行PET检查,经定侧定位后,行手术治疗.其中13例行标准前颞叶切除术,5例行病灶切除+致癎灶切除,3例行选择性海马杏仁核切除.术中应用皮层电极或深部电极进行监测;神经导航下海马钙化切除1例.结果术后无明显并发症,均取得满意近期效果.结论海马硬化是颞叶癫癎发生的主要原因;手术是治疗颞叶癫癎的重要手段,且疗效满意.

Effect analysis of temporal lobe epilepsy(21 cases)treated by surgery

Objective To investigate the surgical methods and effects on temporal lobe epilepsy. Methods 21 patients with TLE were checked and their epileptogenic focus were localized by EEG, MRI or PET. Among these cases, 13 ones underwent standard anterior temporal lobectomy, 5 cases underwent locus and epileptogenic focus resection, and 3 patients underwent selective amygdalohippocampectomy. Intraoperative ECoG and deep electrode were applied and neuronavigation was used in one patient with hippocampus alcification. Results There were not obviously post-operative complications. Recent effects were satisfying.Conclusion Hippocampal sclerosis is the reason for TLE, surgical resection is an important way to treat TLE, and which has satisfactory effects.