| 局限性非外伤性脑软化灶相关癫痫的手术治疗 |
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| 引用本文： | 赵明,梁树立,李安民,邰军利,张继武,孙雅静,刘娜.局限性非外伤性脑软化灶相关癫痫的手术治疗[J].中华神经外科杂志,2009,26(7):500-502. |
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| 作者姓名： | 赵明 梁树立 李安民 邰军利 张继武 孙雅静 刘娜 |
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| 作者单位： | 解放军总医院第一附属医院神经外科,北京,100048; |
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| 摘 要： | Objective To analyze the strategy and outcome of complete lesion resection (CLR) and multiple subpial transaction (MST) for epilepsy caused by non - posttraumatic encephalomalacia.Methods 28 cases were treated with CLR and MST according to preoperative magnetic resonance image (MRI), positive (PET) and 128 - led long - term video EEG. They were followed up for more than 1 year,and their outcome was graded by Engel scales for analysis. Results Grade Ⅰ was observed in 6 cases and Grade Ⅱ in 11 cases, Grade Ⅲ in 9 cases and Grade Ⅳ in 2 cases. Satisfactory seizure control was found in patients with localized encephalomalacia, or far away from eloquent area, or without brain atrophy, more than 80%. Conclusion CLR combined with MST is effective and safe for epilepsy caused by nonposttraumatic encephalomalacia. And the cases with localized encephalomalacia, or far away from eloquent area, or without brain atrophy are likely to have a better outcome.
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| 关 键 词： | 脑软化灶 癫痫 外科手术 |
Surgery for refractory epilepsy caused by non -posttraumatic encephalomalacia |
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| ZHAO Ming,LIANG Shu-li,LI An-min,TAI Jun-li,ZHANG Ji-wu,SUN Ya-jing,LIU Na.Surgery for refractory epilepsy caused by non -posttraumatic encephalomalacia[J].Chinese Journal of Neurosurgery,2009,26(7):500-502. |
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| Authors: | ZHAO Ming LIANG Shu-li LI An-min TAI Jun-li ZHANG Ji-wu SUN Ya-jing LIU Na |
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| Abstract: | |
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| Keywords: | EncephalomalaciaEpilepsySurgical procedures operative |
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