Surgical treatment for epilepsy in the diastema of the central region
10.3760/cma.j.issn.1671-8925.2010.01.020
- VernacularTitle:中央区纵裂癫痫的手术治疗
- Author:
Tao GUO
1
;
Wen-Ling LI
;
Jing-Sheng KANG
;
Wen-Qing ZHAO
;
Chang-Zheng DONG
;
Ya-Li DU
;
Jiang WU
;
Xiang-Yong YUE
Author Information
1. 河北省人民医院
- Keywords:
Central region;
Epilepsy in the diastema;
Surgical Treatment
- From:
Chinese Journal of Neuromedicine
2010;9(1):78-81
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the operative treatment for epilepsy in the diastema of the central region. Methods We analyzed the data of 6 patients with epilepsy in the diastema of the central region,receiving surgical treatment in our hospital from Jun 2007 to Apr 2008.All the patients were performed conventional pre-operative assessments,including MRJ,scalp EEG,MEG,high-density scalp EEG,intracranial EEG and cortical electrical stimulation,to locate the epileptogenic zone and functional regions.Under the cortical EEG monitoring,surgical resection and pathological examination were performed,respectively.EEG characteristics and treatment outcomes,including seizure and complications,were followed up after surgery. Results Epileptogenic zones were localized in the medically refractory diastema of the central region.Five patients were seizure free(Engel Ⅰ)after surgery and 1 had rare seizures(Engel Ⅱ).Pathological examination demonstrated 3 with focal cortical dysplasia,and 1 with gliosis.1 with lipoma and 1 with cavernous hemangioma.Three were showed generally normal EEG and another 3 were showed a small amount of slow-waves by postoperative EEG.Conclusion Epilepsy in the diastema of the central region can be precisely resected without serious complications.
