海马萎缩与颞叶癫痫

目的　对仅有海马萎缩 (硬化 )的颞叶癫痫的诊断和手术治疗作一探讨。方法　对 2 4例病人术前进行的EEG、MRI、SPECT检查及手术治疗进行回顾性分析。结果　 2 4例病人均行前颞叶、杏仁核、前海马切除 ,其中对 3例位优势半球语言区的致痫灶作了多处软脑膜下横切术 (MST) ,术后随访 12个月以上 ,癫痫发作消失者 18例(75 % ) ,发作减少者 6例 (2 5 % ) ,无 1例出现语言障碍。结论　海马萎缩可通过MRI检查量化分析 ,手术治疗可获得满意效果。

Hipocampal atrophia and temporal lobe epilepsy

Objective To study the diagnosis and surgical operation in the treatment of temporal lobe epilepsy with hippocampal atrophia. Method Preoperation EEG, MRI, SPECT checkups and surgical operations were reviewed and analysed among 24 cases treated. Results Fore temporal lobe, amygdaloid nucleus, fore hippocampus were removed among 24 cases, three of whom received multiple subpial transection (MST) in the locus located in the motor speech area. For more than 12 months of follow ups after operations, there were 18 cases (75%)whose epilepsy attacks disappeared, 6 cases with fewer attacks (25%),no cases with lalopathy. Conclusion Hippocampal atrophia is one of the important causes and the results as well temporal lobe epilepsy produce. Hippocampal atrophia could be quantitively analysed by MRI checkups, and surgical therapy could achieve satisfactory results.