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枕叶癫痫的外科治疗进展 被引量：3

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摘要 枕叶癫痫临床表现复杂,其中视觉先兆为其特征性表现。在对枕叶癫痫进行术前评估时,影像学检查结果具有重要作用,但敏感性和特异性不同,需综合分析,皮层脑电图对病灶定位及个体化手术方案的设计具有重要作用。对具有外科治疗适应症的患者,应积极手术,尤其儿童尽早手术对于发育更有意义。病灶明确,行切除手术患者,术后完全缓解率较高,但术后有视野缺损的风险;对位于功能区的病灶,可采用切断传播途径的术式,可达一定的缓解率;毁损手术及神经电刺激对部分患者疗效较好,其应用价值及远期预后有待进一步研究。总体来说预后虽不及颞叶癫痫,但经完善评估,对于具有手术适应症的患者,外科治疗仍不乏为一种有效的治疗方式。
作者 沈少平 东潇博 吕彦恩
机构地区 北京中医药大学东直门医院神经外科
出处 《立体定向和功能性神经外科杂志》 2013年第6期374-377,共4页 Chinese Journal of Stereotactic and Functional Neurosurgery
关键词 枕叶癫痫 术前评估 外科治疗 研究进展
分类号 R742.1 [医药卫生—神经病学与精神病学]
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参考文献23

  • 1Naotaka Usui, Tadahiro Mihara, Koichi Baba et al. Ver- sire seizures in occipital lobe epilepsy. Lateralizing value and pathophysiology[J]. Epilepsy Research, 2011,97 : 157 :161.
  • 2Kim SK, Lee DS, Lee SK, et al. Diagnostic performance of [18F]FDG--PET and ictal[99mTc]- HMPAO SPECT in occipital lobe epilepsy[J]. Epilepsia, 2001, 42:1531 :1540.
  • 3Chassoux, F. , Devaux, B. , Landr' e, E. , et al. Stereoelec- troencephalography in focal cortical dysplasia[J]. Brain, 2000,123 : 1733: 1751.
  • 4Hudgins RJ, Flamini JR, Palasis S, et al. Surgical treat- ment of epilepsy in children caused by focal cortical dys- plasia[J]. Ped Neurosurg, 2005,41 : 70:76.
  • 5Anne G. Caicoya,Jes:us Macarr'on,Julio Albrlsua, et al. Tailored resections in occipital lobe epilepsy surgery guided by monitoring with subdural electrodes: Charac- teristics and outcome[J]. Epilepsy Research, 2007,77 : 1 :10.
  • 6Soheyl Noachtar, Ingo Borggraefe. Epilepsy surgery: A critical review[J]. Epilepsy & Behavior, 2009, 15.66 :72.
  • 7Obeid M, Wyllie E, Rahi AC, et al. Approach to pediatric epilepsy surgery, state of the art. Part I. General princi- ples and presurgical workup[J]. Eur J Paediatr Neurol, 2008,13.115:127.
  • 8Salanova V, Andermann F, Olivier A, et al. Occipital lobe epilepsy., electroclinical manifestations, electrocorticogra- phy, cortical stimulation and outcome in 42 patients trea- ted between 1930 and 1991. Surgery of occipital lobe epi- lepsy[J]. Brain, 1992,115 : 1655:1680.
  • 9George M. Ibrahim, Aria Fallah, Gregory W. Albert, et al. Occipital lobe epilepsy in children: Characterization, e- valuation and surgical outcomes[J]. Epilepsy Research, 2012,99: 335:345.
  • 10AykUt--Bingol C, Bronen RA, Kim JH, et al. Surgical outcome in occipital lobe epilepsy., implications for patho- physiology[J]. Ann Neurol, 1998,44 : 60;--69.

同被引文献23

  • 1陈乾,廖建湘,付桂兵,毛建雄,陈彦,谭启富,Kurt E.Hecox.儿童难治性癫痫的外科治疗[J].临床小儿外科杂志,2006,5(1):54-56. 被引量：5
  • 2Gowers WR. Cases of cerebral tumour illustrating diagnosis and localisation[J]. Lancet, 1879, 113: 327-329.
  • 3Sanai N, Berger MS. Recent surgical management of gliomas [J]. Adv Exp Med Biol, 2012, 746: 12-25.
  • 4Ibrahim GM, Fallah A, Albert GW, et al. Occipital lobe epilepsy in children: characterization, evaluation and surgical outcomes [J]. Epilepsy Res, 2012, 99(3): 335-345.
  • 5Jobst BC, Williarnson PD, Thadani VM, et al. Intractable occipital lobe epilepsy: clinical characteristics and surgical treatment [J]. Epilepsia, 2010, 51(11): 2334-2337.
  • 6An D, Fahoum F, Hall J, et al. Electroencephalography/functional magnetic resonance imaging responses help predict surgical outcome in focal epilepsy[J]. Epilepsia, 2013, 54(12): 2184-2194.
  • 7Boesebeck F, Schulz R, May T, et al. Lateralizing semiology predicts the seizure outcome atter epilepsy surgery in the posterior cortex[J]. Brain, 2002, 125:2320-2331.
  • 8Blume WT, Wiebe S, Tapsell LM. Occipital epilepsy: lateral versus medial[J]. Brain, 2005,128: 1208-1225.
  • 9Usui N, Mthara T, Baba K, et al. Versive seizures in occipital lobe epilepsy: lateralizing value and pathophysiology[J]. Epilepsy Res, 2011, 97(1-2): 157-161.
  • 10Caller TA, Chen JJ, Harrington JJ, et al. Predictors for readmissions after vEEG monitoring[J]. Neurology, 2014, 83(5): 450-455.

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立体定向和功能性神经外科杂志
2013年 第6期

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