Surgical treatment of meningiomas with epilepsy as the main symptom
10.3969/j.issn.1006-5725.2018.03.021
- VernacularTitle:外科治疗以癫痫为主要症状的脑膜瘤124例
- Author:
Jie ZHANG
1
;
Jinjian GAO
;
Deming ZHANG
;
Hui CHEN
;
Sisong WANG
;
Jianbing WU
;
Chunfu DU
;
Zhihui LI
Author Information
1. 雅安市人民医院神经外科 四川雅安625000
- Keywords:
epilepsy;
meningioma;
surgical treatment
- From:
The Journal of Practical Medicine
2018;34(3):427-430,449
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the surgical efficacy of meningioma patients with epilepsy as the main symptoms. Methods A retrospective analysis of 124 meningioma patients with epilepsy as the main symptoms between January 2010 and January 2016,follow-up effect of epilepsy control. Results There were 94 cases of Simpson I orⅡgrade resection,27 cases of gradeⅢresection and 3 cases of grade Ⅳ resection. The surgical out-comes of patients were evaluated based on Engel′s classification. There were 98 cases(79.0%)of EngelⅠgrade, 11 cases(8.9%)of EngelⅡgrade,Engel Ⅲ and Ⅳ grade were 12 cases(9.7%)and 3 cases(2.4%). Among them,87 of 94 patients with Simpson I orⅡ grade resection epilepsy were well controlled,the satisfaction rate of epilepsy control was 92.6%. Conclusions Epilepsy as the main symptoms of meningioma patients need to clear about the seizure onset area preoperative,need to pay special attention to whether there is an independent epilepsy starting area of the distant site of the tumor. On the basis of the tumor resection as much as possible,at the same time dealing with the abnormal release of the cortex can effectively improve the efficacy of postoperative epilepsy control.
