脑皮层电图监测下显微手术治疗耐药性癫痫的效果

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Abstract Objective To investigate the effect of microsurgery in the treatment of drug-resistant epilepsy under the monitoring of electrocorticogram. Methods Clinical data of 30 patients with drug-resistant epilepsy admitted to the First People’s Hospital of Shangqiu, Henan Province from January 2014 to October 2019 were analyzed. In all patients, the lesions were removed by microsurgical technique under the monitoring of electroencephalogram. Head CT was reviewed on the first day after the operation, to understand the intracranial hemorrhage and cerebral edema, to observe the seizure and complications, and to monitor the vital signs. The postoperative follow-up was from three months to five years, and the results were evaluated by Tan’s classification. Results All the patients were followed up for an average of (2.78±1.46) years. One case of postoperative homohemianopsia occurred, accounting for 6.25% (1/16) of the patients undergoing temporal lobe epilepsy surgery. No surgical death, intracranial infection, intracranial hemorrhage, hemiplegia, aphasia, and other complications occurred. The results were satisfactory in 22 cases, significantly improved in five cases and good in three cases. Conclusion Microsurgical technique under electroencephalogram monitoring is an effective method to treat drug-resistant epilepsy.

Key words： Drug-refractory epilepsy Microsurgery Electrocorticography Monitoring

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	LI Jialiang MIAO Pengfei YANG Quanxi HUANG Qi LIU Wenxiang SHEN Xianghui

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LI Jialiang MIAO Pengfei YANG Quanxi HUANG Qi LIU Wenxiang SHEN Xianghui. Effect of microsurgery in the treatment of drug-resistant epilepsy under the monitoring of electrocorticogram[J]. 中国医药导报, 2021, 18(26): 77-80.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I26/77

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