[1]林志红,王逢鹏,姚一,等.术前和术后脑电图在预测功能性大脑半球切除术癫痫控制效果中的意义[J].临床神经外科杂志,2015,(03):214-216.
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术前和术后脑电图在预测功能性大脑半球切除术癫痫控制效果中的意义()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2015年03期
页码:
214-216
栏目:
癫痫专题 论著
出版日期:
2015-06-15

文章信息/Info

Title:
Analysis of the prognostic signficance of EEG before and after functional hemispherectomy
作者:
林志红 王逢鹏 姚一 张小斌
解放军第一七四医院暨厦门大学附属成功医院神经医学中心
关键词:
药物难治性癫痫大脑半球切除术脑电图预后
Keywords:
Hemispherectomy epilepsy EEG prognosis
分类号:
R742.1
文献标志码:
A
摘要:
目的 探讨功能性大脑半球切除术患者术前、术后脑电图与预后的关系。 方法 回顾性分析20例功能性大脑半球切除术患者术前间期、发作期脑电图及术后脑电图特征,并分析其与预后的关系。 结果 术后癫痫控制情况:19例(95%)Engel I级,1例(5%)Engel III级。以术后是否存在癫痫发作作为预后评价指标(术后急性期癫痫发作除外)。共6例(3例Engle Ia级、2例Engle Id级、1例EngleIII级)术后存在癫痫发作。术前脑电图健侧半球慢波增多、间期双侧半球独立痫性放电以及术后脑电图健侧半球痫性放电与术后癫痫发作相关。而术后存在健侧半球放电的患者中,如术后6月内放电消失或演变为患侧半球放电,仍可获得良好预后。 结论 半球病变性癫痫术前间期脑电图、及术后脑电图对术后癫痫控制效果具有重要的预测的价值。
Abstract:
Objective:To investigate the prognostic significance of pre- and postoperative EEG fandings of patients performed functional hemispherectomy. Methods:Pre- and postoperative EEG of 20 patients who underwent functional hemispherectomy in our hospital from 2005 March to 2013 July, were analyzed retrospectively. All patients followed up for more than 1 year.The characteristics of pre- and postoperative interictal ang ictal EEGs were analyzed ,and their relationship with the prognosis were discussed. Results: 19 cases (95%) were Engle grade I, 1 case (5%) of grade EngleIII. In preoperative EEG, increased slow wave on background of nonpoerated hemisphere, bilaterally independent discharge on interictal EEG, and in ,the postoperative EEG,epileptiform discharge in nonoperated hemisphere were associated with postoperative seizure.However , When epileptiform discharge on nonoperated hemisphere disappeared before six months after surgery, patients can still be in good prognosis. Conclusions: The electroencephalogram before and after functional hemispherectomy has a certain value in outcome prediction. Especially greater predictive value of postoperative EEG.

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[1]代金东,王晓飞,梅珊珊.半球性癫痫手术治疗的疗效分析[J].临床神经外科杂志,2016,(01):35.
[2]林久銮,周文静,孙朝晖.半球性病变癫痫外科术式选择策略[J].临床神经外科杂志,2015,(03):163.

备注/Memo

备注/Memo:
[收稿日期] 2015-03-31 [基金项目]厦门市科技计划指导项目
更新日期/Last Update: 2015-06-15