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| 脑电监测颅内蛛网膜囊肿继发癫(癎)的显微外科治疗 | |
| 引用本文： | 刘琨,王婷,毛庆波,陈成雨,王国栋,吴洪喜.脑电监测颅内蛛网膜囊肿继发癫(癎)的显微外科治疗[J].中国临床神经科学,2007,15(2):178-182. |
| 作者姓名： | 刘琨 王婷 毛庆波 陈成雨 王国栋 吴洪喜 |
| 作者单位： | 1. 山东省济宁医学院第二附属医院神经外科,272051 2. 山东省济宁医学院病理学教研室,272013 3. 山东省立医院神经外科,250021 |
| 摘 要： | 目的:探讨颅内蛛网膜囊肿(IAC)与癫癎的关系以及显微外科治疗方法。方法:应用脑电监测对颅内IAC伴癫癎的26例患者进行显微手术治疗。均行颅内IAC切除,致灶局限于脑非功能区者行致灶切除;致灶局限于脑功能区行灶区皮质热灼术。结果:26例患者中完全不发作者11例,显著改善者10例,无变化者5例。结论:颅内IAC可引起癫癎,显微手术切除IAC的同时,应用脑电监测行致灶切除和(或)皮质热灼术,对IAC伴癫癎患者的治疗较为理想。 |
| 关 键 词： | 颅内蛛网膜囊肿 癫(癎) 显微手术 |
Microsurgical Treatment of Intracranial Arachnoid Cyst with Epilepsy and the Intraoperative Electrocorticogram Mornitoring |
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| LIU Kun,WANG Ting,MA O Qing-Bo,CHEN Cheng-Yu,WANG Guo-Dong,WU HongXi.Microsurgical Treatment of Intracranial Arachnoid Cyst with Epilepsy and the Intraoperative Electrocorticogram Mornitoring[J].Chinese Journal of Clinical Neurosciences,2007,15(2):178-182. | |
| Authors: | LIU Kun WANG Ting MA O Qing-Bo CHEN Cheng-Yu WANG Guo-Dong WU HongXi |
| Abstract: | Aim:To study the relationship between intracranial arachnoid cyst(IAC)and epilepsy and to evaluate the effect of microsurgical treatment.Methods:Under the intraoperative electrocorticogram(EcoG)mornitoring,intracranial arachnoid cyst and epileptic spikes were resected,when the epileptic spikes came from non-functional area.The resection of the cyst and cortical coagulation were conducted,when the epileptic spikes came from functional area.Results:Postoperative follow-up demonstrated that,seizures completely stopped among 11 cases,10 cases significantly improved,5 cases no changed.Conclusion:Intracranial arachnoid cyst usually is the cause of epilepsy.Removal of epileptic spikes under the EcoG mornitoring is a good surgical management in resection of intracranial arachnoid cyst with epilepsy. |
| Keywords: | intracranial arachnoid cyst epilepsy microsurgery |
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