目的 分析大脑半球解剖改良切除术治疗顽固性癫癎的临床疗效。方法 对2008-03至2013-12在武警北京总队医院的12例顽固性癫癎患者行大脑半球解剖改良切除术,并对其结果进行追踪随访。结果 12例术后癫癎发作均得到有效控制,术后无发作达到EngelⅠ级11例(92%),Ⅱ级1例(8%)。所有患者术后随访神经功能缺失症状无明显加重,行为异常均得到不同程度的改善,未出现明显并发症。结论 对大脑半球一侧广泛病变伴有顽固性癫癎的患者,行大脑半球解剖改良的切除术,可以有效控制癫癎发作并明显改善预后。
Abstract
Objective To study the clinical effectiveness of improved anatomy hemispherectomy for patients with intractable epilepsy. Methods Twelve patients with intractable epilepsy were treated by improved anatomy hemispherectomy. Their clinical results were followedup after operation. Results 12 cases obtained improvement of abnormal behavior, and no significant exacerbation of neurological deficits was observed. During the follow-up, 11 cases attained Engel Ⅰ(92%) and 1 EngelⅡ(8%). No long-term complication was observed. Conclusions For the patients with intractable epilepsy with hemosphere extensive lesions, improved anatomy hemispherectomy can effectively control seizures and obviously improve the prognosis.
关键词
改良的解剖大脑半球切除术 /
癫
/
治疗
Key words
improved anatomy hemispherectomy /
intractable epilepsy /
therapy
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