[1]高薇,吴超,毕永峰,等.立体定向脑电图在岛叶难治性癫痫中的应用[J].临床神经外科杂志,2018,15(05):321-328.[doi:10.3969/j.issn.1672-7770.2018.05.001]
 GAO Wei,WU Chao,BI Yong-feng,et al.Application of stereo-electroencephalography in insular epilepsy[J].Journal of Clinical Neurosurgery,2018,15(05):321-328.[doi:10.3969/j.issn.1672-7770.2018.05.001]
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立体定向脑电图在岛叶难治性癫痫中的应用()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
15
期数:
2018年05期
页码:
321-328
栏目:
功能神经外科专题
出版日期:
2018-10-15

文章信息/Info

Title:
Application of stereo-electroencephalography in insular epilepsy
作者:
高薇吴超毕永峰徐敏胡小伟陈罡
215000 苏州,苏州大学附属第一医院神经外科(高薇,吴超,毕永峰,陈罡),神经内科(徐敏,胡小伟)
Author(s):
GAO WeiWU ChaoBI Yong-fenget al.
Department of Neurosurgery,The First Affiliated Hospital of Soochow University,Suzhou 215000,China
关键词:
癫痫岛叶立体定向脑电图局灶性皮层发育不良
Keywords:
epilepsyinsular lobestereo-electroencephalographyfocal cortical dysplasia
分类号:
R745.1
DOI:
10.3969/j.issn.1672-7770.2018.05.001
文献标志码:
A
摘要:
目的 探讨立体定向脑电图(stereo-electroencephalography,SEEG)在岛叶难治性癫痫患者中的定位价值。方法 回顾性分析5例SEEG确定癫痫发作起始于岛叶行手术治疗患者的临床资料,随访手术效果。结果 5例岛叶癫痫患者共植入40根SEEG电极,平均每例患者植入8根电极,触点数共464个,其中涉及岛叶的电极15根,触点数共52个。未出现电极弯曲或折断、颅内血肿、感染等并发症。术后随访6~32个月,癫痫发作控制Engel评级Ⅰ级者4例,Ⅲ级者1例。结论 SEEG创伤小、并发症少,可以精确确定岛叶癫痫的起源,适合于岛叶难治性癫痫的术前评估。
Abstract:
Abstract:Objective To explore the value of stereo-electroencephalography(SEEG) in the localization of seizure originating from insular lobe.Methods The clinical data of 5 patients with insular epilepsy who underwent SEEG were analyzed retrospectively,including the postoperative outcomes.Results 5 patients underwent SEEG surgeries and 40 electrodes carrying 464 contacts were implanted,among which 15 electrodes carrying 52 contacts located in the insular lobe.There was no complication such as intracerebral bleeding,electrode breakage,infection and so on.These patients were followed up for 4-30 months.4 patients had Engel classⅠoutcome and 1 patient had Engel class Ⅲ outcome.Conclusion SEEG could accurately fix the seizure onset zones of insular lobe epilepsy with relatively low incidence of complications,and it is suitable for preoperative evaluation of insular intractable epilepsy.

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更新日期/Last Update: 2018-10-10