| 皮质电刺激对颞叶癫病人颞后感觉性语言中枢和致灶关系的评估价值 |
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| 引用本文： | 朱宏伟,李勇杰,王玉平,张国君,孙伟,杜薇,徐翠萍.皮质电刺激对颞叶癫病人颞后感觉性语言中枢和致灶关系的评估价值[J].中国微侵袭神经外科杂志,2011,16(6):254-255. |
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| 作者姓名： | 朱宏伟 李勇杰 王玉平 张国君 孙伟 杜薇 徐翠萍 |
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| 作者单位： | 首都医科大学宣武医院功能神经外科北京功能神经外科研究所,北京,100053 |
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| 摘 要： | 目的探讨皮质电刺激对颞叶癫病人颞后感觉性语言中枢和致灶关系的评估价值。方法对15例致灶可能与语言区毗邻的颞叶癫病人,行左颞后颅内电极植入,并进行皮质电刺激完成致灶定位。选择与病人智力水平相适应的语言作业,所有病人于术中唤醒下行致灶切除。结果所有病人均能通过皮质电刺激确定感觉性语言区的精确位置。致灶和感觉性语言中枢相离11例,相切2例,相交2例。随访15例,时间21~36个月;根据Engel分级:Ⅰ级8例,Ⅱ级4例,Ⅲ级2例,Ⅳ级1例。术后语言障碍2例,部分恢复1例,无改变1例。结论感觉性语言中枢有明显的个体差异。皮质电刺激能够客观评估感觉性语言中枢的位置,据此判断其与致灶的关系,是一种有效和可靠的评估手段。
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| 关 键 词： | 癫 颞叶 皮质电刺激 感觉性语言中枢 致灶 术中唤醒 |
Value of cortical electrical stimulation in evaluating the relationship between posterior Wernicke area and epileptogenic foci |
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| Zhu Hongwei,Li Yongjie,Wang Yuping,Zhang Guojun,Sun Wei,Du Wei,Xu Cuiping.Value of cortical electrical stimulation in evaluating the relationship between posterior Wernicke area and epileptogenic foci[J].Chinese Journal of Minimally Invasive Neurosurgery,2011,16(6):254-255. |
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| Authors: | Zhu Hongwei Li Yongjie Wang Yuping Zhang Guojun Sun Wei Du Wei Xu Cuiping |
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| Institution: | Zhu Hongwei,Li Yongjie,Wang Yuping,Zhang Guojun,Sun Wei,Du Wei,Xu Cuiping Department of Functional Neurosurgery,Beijing Institute of Functional Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China |
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| Abstract: | Objective To investigate the value of cortical electrical stimulation in evaluating the relationship between posterior Wernicke area and epileptogenic foci.Methods Cortical electrical stimulation was performed in 15 patients whose epileptogenic foci were adjacent to Wernicke area confirmed by intracranial posterior electrode.The language task was selected according to the intelligence level of the patients.All the patients underwent resection of epileptogenic zone with intraoperative awakening.Results The W... |
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| Keywords: | epilepsy temporal lobe cortical electrical stimulation Wernicke area epileptogenic foci intraoperative awakening |
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