[1]丰倩,周文静,刘一鸥,等.头皮脑电图在功能性大脑半球切除术中的应用价值[J].临床神经外科杂志,2016,(05):352-355.
 FENG Qian,ZHOU Wen-jing,LIU Yi-ou,et al.Clinical value of scalp electroencephalography in patients with functional hemispherectomy[J].Journal of Clinical Neurosurgery,2016,(05):352-355.
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头皮脑电图在功能性大脑半球切除术中的应用价值()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2016年05期
页码:
352-355
栏目:
论著
出版日期:
2016-10-07

文章信息/Info

Title:
Clinical value of scalp electroencephalography in patients with functional hemispherectomy
作者:
丰倩周文静刘一鸥孙朝晖
100040 北京,清华大学玉泉医院癫痫中心
Author(s):
FENG Qian ZHOU Wen-jingLIU Yi-ouet al.
Epilepsy center, Tsinghua University Yuquan Hospital, Beijing,100040,China
关键词:
癫痫功能性大脑半球切除术脑电图
Keywords:
epilepsyfunctional hemispherectomy EEG
分类号:
R743.304
文献标志码:
A
摘要:
目的:探讨头皮脑电图(EEG)在功能性大脑半球切除术中的应用价值。方法:回顾性分析8例药物难治性癫痫行功能性大脑半球切除术的患者,分析病因与术后转归相关性,着重分析术前头皮EEG背景活动、间歇期放电、发作起始及术后EEG特征。结果:8例患者以获得性病因为主。术前头皮EEG背景活动多表现为慢波增多,患侧显著;发作间歇期双侧半球呈现多脑区放电特征;发作起始EEG改变多为弥漫性改变;术后复查EEG,1个月内以双侧放电居多,半年以上复查以患侧放电居多。结论:头皮EEG作为一种简便易行的检查手段,在功能性大脑半球切除术术前评估、术后随访中起到重要作用。
Abstract:
Abstract Objective:To investigate the role of scalp EEG in patients underwent functional hemispherectomy. Methods:We retrospectively reviewed 8 patients with catastrophic epilepsy who underwent functional hemispherectomy. We analyzed the etiologies. Meanwhile, all pre-and postoperative scalp EEGs were reviewed, including EEG background, both interictal and ictal EEG modality. Results:Of 8 patients, the most etiologies were acquired ones. About the EEGs, slow waves of background activity were mostly observed in both hemispheres; interictal EEGs were recorded in multi-focally brain; ictal EEGs were mostly characterized by diffused discharge; postoperative EEGs were recorded respectively in 1 month and half one year later, the short-term EEGs were bilaterally discharged, the long-term ones ipsilaterally.Conclusion:As a simple means of inspection, scalp EEG played a great part in preoperative evaluation and postoperative follow-up.

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备注/Memo

备注/Memo:
清华大学自主科研计划课题(2015THZ201)
更新日期/Last Update: 2016-10-15