摘要
目的 探讨颞叶癫痫的诊断和治疗方法。 方法 利用EEG和MR对 3 0例颞叶癫痫(TLE)病例的癫痫灶进行定位诊断 ,依据诊断结果对其中 15例实施前颞叶切除术 ,另 15例接受选择性海马杏仁切除术 ,并分析其近期疗效及随访结果。 结果 3 0例病例中手术疗效满意 18例 ;显著11例 ;良好 1例 ,术后无并发症发生。 结论 MR有助于对TLE的定位诊断 ;手术是治疗顽固性TLE的重要手段 ,对于EEG和MR提示为颞叶内侧癫痫的病例应选用选择性海马杏仁核切除 ,采用经颧弓颞底入路使手术更为安全。
Objective To discuss the diagnosis and surgical treatment of temporal lobe epilepsy. Methods From 1995 to 1998, 30 patients with intractable mesial temporal lobe epilepsy were identified by EEG and MR. Among them, 15 patients underwent anterior temporal lobectomy, while another 15 patients accepted selective amygdalahippocampectomy. The results of operation and follow up were analyzed. Results As to seizure outcome, all patients were benefited from surgery. Surgical result was satisfactoy in 18 patients, notable in 11, and good in 1. There was no complication. Conclusions MR is beneficial for the localization of epileptic foci. Operation is an effective way for the treatment of temporal lobe epilepsy. Selective amygdalohippocampus is the first choice for medial temporal lobe epilepsy. Transzygmatic temporal lobe base approach improves the safety of operation.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2000年第2期109-111,共3页
Chinese Journal of Surgery
关键词
癫痫
颞叶癫痫
神经外科手术
诊断
Epilepsy, temporal lobe
Neurosurgeical procedures
