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儿童脑神经节细胞瘤伴癫癇的显微外科治疗

Microsurgical treatment of ganglioglioma associated with epilepsy in children

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【作者】 孙康健谭启富孙克华潘云曦华长春

【Author】 SUN Kangjian, TAN Qifu, SUN Kehua, et al Department of Neurosurgery, Affiliated Clinical Hospital of Nanjing University Medical School, Nanjing General Hospital, Nanjing Command, Nanjing 210002 China

【机构】 南京大学医学院临床学院南京军区南京总医院神经外科南京军区南京总医院神经外

【摘要】 目的 探讨神经节细胞瘤 (Ganglioglioma,GG)伴癫的临床表现及外科治疗方法。 方法 回顾性分析 9例 GG伴癫的病例 ,肿瘤位于颞叶 6例 ,额叶 2例 ,枕叶 1例 ,均进行术前脑电图及影像学检查 ,并在脑电图监测下行肿瘤加致灶切除术。 结果 在获随访 8例中 ,完全不发作 6例 ,好转 2例。 结论  GG伴癫应尽早手术治疗 ,脑电图监测下行致灶加肿瘤切除效果良好

【Abstract】 Objective To explore the climical features and surgical treatment of ganglioglioma(GG) associated with epilepsy in children Methods A retrospective review was conducted in 9 children with GG and epilepsy They all received preoperaitive examinations of EEG, CT and MRI Tumors located in temporal lobe in 6 cases, frontal lobe in two and occipital lobe in one Under EEG monitoring, tumors and epileptogenetic focus were resected in all patients Results Of eight followed up patients,six were seizure free and two were improved Conclusions Patients of GG associated with epilepsy should receive surgical treatment as early as possible A good effect could be expected if tumor and epileptogenetic focus were resected under EEG monitoring

【关键词】 儿童神经节细胞瘤癫癇显微外科手术
【Key words】 ChildrenGangliogliomaEpilepsyMicrosurgery
  • 【文献出处】 中华显微外科杂志 ,Chinese Journal of Microsurgery , 编辑部邮箱 ,2001年04期
  • 【分类号】R739.41
  • 【被引频次】3
  • 【下载频次】53
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