| 皮层脑电图监测在颅内海绵状血管瘤显微外科中的应用 |
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| 引用本文： | 朱丹化,吴哲褒,吴近森,潘进钱,诸葛启钏,郑伟明. 皮层脑电图监测在颅内海绵状血管瘤显微外科中的应用[J]. 中国医师进修杂志, 2006, 29(20): 28-30 |
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| 作者姓名： | 朱丹化 吴哲褒 吴近森 潘进钱 诸葛启钏 郑伟明 |
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| 作者单位： | 325000,温州医学院附属第一医院神经外科 |
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| 摘 要： | 目的探讨术中皮层脑电图(ECoG)监测在颅内海绵状血管瘤继发癫疒间患者显微外科手术中的应用价值。方法回顾分析2000~2005年颅内海绵状血管瘤继发癫疒间患者15例,术中采用ECoG监测测定致间疒灶的准确部位和范围来进行显微外科手术。结果随访发现10例患者停药后1年以上无癫疒间发作,4例以术前药量的1/4~1/3量即可控制,1例在药物控制下偶有癫疒间发作。结论ECoG监测可发现肿瘤周边的癫间疒棘波灶,并指导对癫间疒棘波灶进行皮层电灼或多软膜下横切,对控制术后癫疒间发作有重要的临床价值。
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| 关 键 词： | 颅内海绵状血管瘤 继发性癫疒间 皮层脑电图监测 |
| 修稿时间： | 2006-02-22 |
Electrocorticography monitoring in microsurgical treatment of intracranial cavernous hemangiomas |
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| ZHU Dan-hua,WU Zhe-bao,WU Jin-sen,PAN Jin-qian,ZHUGE Qi-chuan,ZHENG Wei-ming. Electrocorticography monitoring in microsurgical treatment of intracranial cavernous hemangiomas[J]. Chinese Journal of Postgraduates of Medicine, 2006, 29(20): 28-30 |
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| Authors: | ZHU Dan-hua WU Zhe-bao WU Jin-sen PAN Jin-qian ZHUGE Qi-chuan ZHENG Wei-ming |
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| Abstract: | Objective To investigate the effects of electrocorticography(ECoG) monitoring in microsurgical treatment of intracranial cavernous hemangiomas(ICH).Methods Fifteen cases of ICH with secondary epilepsy were investigated from 2000 to 2005.They all had been performed ECoG monitoring during operation for determining the precise position and scope of focal epileptogenicity.Results Follow-up visit found 10 cases cured without drugs,4 cases total controlled with 1/4~1/3 quantity of premedicant,1 case had epileptic seizure by chance with drugs.Conclusion ECoG monitoring can provide the direction during the surgical procedure,and controls the postoperative epileptic seizure. |
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| Keywords: | Intracranial cavernous hemangiomas Secondary epilepsy Electrocorticography monitoring |
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