垂体瘤术后并发癫痫原因探讨

探索垂体瘤患者接受手术治疗后并发癫痫的原因。方法：分析7例垂体瘤患者术后出现癫痫的临床及术后CT影像特点。结果：本组病例在经右额下入路行垂体瘤切除术后，分别在1～2周时出现癫痫症状，以大发作为主，7～12d较多。同时行头部CT检查发现，7例患者均表现为右额叶不同程度脑水肿。结论：垂体瘤患者经右额下入路手术治疗后并发癫痫的原因与术后脑水肿密切相关，如何避免或减轻这类患者术后脑水肿，是避免术后出现癫痫的关键。

Pituitary Adenoma Postoperative Complicated by Epilepsy

Objective: To study the cf pituitary adenoma postoperative complicated by epilepsy. Methods: Clinical feature and CT scans characteristic were analyzed in the 7 patients of pituitary adenoma postoperatve complicated by epilepsy. Results: The 7 patients were treated by subfrontal approach displaying the epilepsy symptomin 1 to 2 weeks, most of them show grant mal epilepsy and most in 7 to 12 days. In the same time CT scan demonstrated different degree brain edema in the right frontal. Conclusions: The patient treat by right subfrontal approach, postoperative complicated epilepsy related to the brain edema. It is key skill for decreasing complicate epilepsy that is avoiding or lightening brain edema in the neurosurgical operation.