Treatment of symptomatic epilepsy by lesionectomy combined with cortex thermocoagulation under the monitoring of cortical EEG
10.3760/cma.j.issn.1671-8925.2008.03.005
- VernacularTitle:皮层脑电图监测下病灶切除联合皮层热凝治疗继发性癫痫
- Author:
Jian-Ming ZHU
1
;
Xin-Geng ZHU
;
Ming ZHANG
;
Jie LU
;
Xin-Jun LIU
Author Information
1. 南昌大学附属第二医院
- Keywords:
Symptomatic epilepsy;
Cortex thermocoagulation;
Lesionectomy;
Electrocorticogram
- From:
Chinese Journal of Neuromedicine
2008;7(3):229-230
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical effects of lesionectomy combined with bipolar coagulation on the cortexes with epileptogenic foci in symptomatic epilepsy. Methods Twenty-three cases of space-occupying lesion complicated by secondary epilepsy were treated by lesionectomy combined with bipolar coagulation under cortical EEG monitoring, and the control rate of epilepsy after operation was studied during the follow-up. Results All cases were followed up for 20 months on average. The clinical success of the treatment was assessed according to the criteria of the International Epilepsy Institute:level Ⅰ 14 cases,levelⅡ5 cases,levelⅢ2 cases,levelⅣ2 cases.The success rates (level Ⅰ,ⅡandⅢ)amounted to 91.3%(21/23). Conclusions Lesionectomy combined with cortex thermocoagulation is safe and effective in the treatment of symptomatic epilepsy.
