Clinical analysis of 32 cases of temporal lobe epilepsy treated by microsurgery under intraoperative cortical EEG monitoring
10.3760/cma.j.cn101721-20220322-000076
- VernacularTitle:术中皮层脑电监测下显微手术治疗颞叶癫痫32例临床分析
- Author:
Jialiang LI
1
;
Pengfei MIAO
;
Qi HUANG
;
Wenxiang LIU
;
Xianghui SHEN
Author Information
1. 河南省商丘市第一人民医院神经外科，商丘 476100
- Keywords:
Temporal lobe epilepsy;
Cortical encephalon electricity graph;
Microsurgery;
Modified pterional approach
- From:
Clinical Medicine of China
2022;38(4):327-330
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of microsurgery by modified pterional approach in the treatment of temporal lobe epilepsy under intraoperative cortical encephalon electricity graph (EEG) monitoring.Methods:The clinical data of 32 patients with temporal lobe epilepsy who were admitted to the Department of Neurosurgery of Shangqiu First People's Hospital from January 2012 to June 2021 were retrospectively analyzed, all patients underwent microsurgical resection of epileptogenic foci by modified pterional approach under cortical EEG monitoring.Results:The postoperative follow-up was from half a year to 6 years. According to the Tan's classification, 25 cases (78.1%(25/32)) of seizures disappeared completely, 3 cases (9.4%(3/32)) of seizures decreased by more than 75%, and 4 cases (12.5%(4/32)) of seizures decreased by more than 50%. Isotropic hemianopia occurred in 1 case (3.1%) after operation, and there was no operative death.Conclusion:Microsurgical resection of epileptogenic foci through modified pterional approach under intraoperative cortical EEG monitoring was a safe and effective method for the treatment of temporal lobe epilepsy.
