| 头皮视频脑电监测结合颅内电极脑电监测在难治性癫痫手术中的应用 |
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| 引用本文： | 刘广韬,潘隆盛,凌至培,许百男. 头皮视频脑电监测结合颅内电极脑电监测在难治性癫痫手术中的应用[J]. 立体定向和功能性神经外科杂志, 2010, 0(4) |
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| 作者姓名： | 刘广韬 潘隆盛 凌至培 许百男 |
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| 作者单位： | 解放军总医院神经外科; |
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| 摘 要： | 目的探讨颅内电极置入术在临床的应用时机、方法,评估头皮视频脑电图(scalp EEG,sEEG)与颅内电极脑电图(intracranial EEG,iEEG)两者监测技术在癫痫外科中的价值。方法对47例难治性癫痫患者,术前行头皮视频脑电图监测初步确定致痫灶部位,在参考非侵入性评估结果的基础上,采用颅内电极置入、长程脑电图监测技术进行致痫区定位,然后切除致痫灶。结果手术后致痫灶切除效果:EngelⅠ级29例,Ⅱ级10例,Ⅲ级7例,IV级1例。术后发生头皮脑脊液漏3例,修补缝合并延长拆线时间后愈合。1例出现少量硬膜外血肿,保守治疗后血肿吸收。无感染及死亡病例。结论头皮视频脑电图与颅内电极置入并进行长程脑电图两者监测是准确定位致痫区的一种有效、安全的方法。
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| 关 键 词： | 难治性癫痫 颅内电极 致痫区 |
Scalp video EEG monitoring combined with intracranial EEG monitoring in refractory epilepsy surgery |
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| Liu Guangtao,Pan Longsheng,Ling Zhipei,et al.. Scalp video EEG monitoring combined with intracranial EEG monitoring in refractory epilepsy surgery[J]. Chinese Journal of Stereotactic and Functional Neurosurgery, 2010, 0(4) |
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| Authors: | Liu Guangtao Pan Longsheng Ling Zhipei et al. |
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| Affiliation: | Liu Guangtao,Pan Longsheng,Ling Zhipei,et al.General Hospital of PLA,Beijing,100853,China |
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| Abstract: | Objective To investigate intracranial electrode implantation in patients with clinical application timing,methods,assessment of scalp video electroencephalography(scalp EEG,sEEG) monitoring combined with intracranial EEG(intracranial EEG,i-EEG) monitoring in epilepsy surgery in value.Methods 47 patients with refractory epilepsy patients,preoperative scalp video-EEG monitoring of epileptic foci initially identified site,in reference to non-invasive assessment of the base,using the intracranial electrode plac... |
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| Keywords: | Intractable epilepsy Intracranial electrodes Epiletogenic zone |
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