Surgical treatment of posttraumatic epilepsy in functional cerebral area
10.3760/cma.j.issn.1008-6315.2010.06.006
- VernacularTitle:功能区外伤性癫痫的手术治疗
- Author:
Baozhe JIN
;
Guoyan YUAN
;
Xinzhong ZHANG
;
Wenhe ZHOU
;
Guosheng ZHOU
- Publication Type:Journal Article
- Keywords:
Posttraumatic epilepsy;
Multiple subpial transaction;
Electrocorticogram monitoring
- From:
Clinical Medicine of China
2010;26(6):578-580
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the surgical treatment of posttraumatic epilepsy in functional cerebral area Methods After preoperative evaluation,nineteen patients with intractable posttraumatic epilepsy of functional cerebral area underwent multiple subpial transaction under the electrocorticogram monitoring during the operation, combining with anterior corpus callosotomy, anterior temporal lobectomy and selective amygdalo-hippocampectomy. Results The follow-up results showed seizures of these patients improved considerably. According to Engel' s grading,among 19 cases,10 cases were grade Ⅰ ,7 cases were grade Ⅱ ,2 cases were grade Ⅲ ,and no cases were grade Ⅳ. Conclusions The satisfactory clinical outcome of the surgical treatment of intractable posttraumatic epilepsy in functional cerebral area could be obtained with the help of careful preoperative evaluation and multiple subpial transaction under the electrocorticogram monitoring.
