脑囊虫病诱发顽固性癫痫的定向外科治疗

目的 研究脑囊虫病诱发顽固性癫痫的外科治疗方法。方法 采用立体定向技术行囊虫病灶摘除 ,杏仁核、Forel-H区热凝核毁损。术后随访1年。结果 28例病人中术后1年无癫痫发作23例、术后至随访1年结束时发作1～2次2例、癫痫发作减少>75%2例、疗效较差1例、无改善0例。总有效率100%、总满意率82.1%、显著改善率92.9%、良好率92.9%。结论 采用立体定向技术行囊虫病灶摘除 ,杏仁核、Forel-H区热凝核毁损是治疗脑囊虫病诱发顽固性癫痫的简单而有效方法之一。

Treatment of obstinate epilepsy caused by Hydatid diseade with stereoscopic dirtional skill

Objective TO study the surgical treatment of obstinate epilepsy caused by Hydatid diseade . Methods The stereoscopic dirtional skill was used on 28 patients to remove the cyst of Hydatid disease and damage the area of Forel-H by coagulation. After the operation follow-up was made for one year . Result In all 28 patients , 23 cases showed no epilepsys attack.2 cases showed one or two attacks after one year. 2 cases showed reduced epilepsys attacks, 1 case has poor curative effect. Conclusions It is a simple and effective methods to treat the obstinate epilepsy caused by Hydatid disease, which using the stereoscopic directional skill to excise the cyst of the Hydatid disease and the core-destroying method with heat-coagulation at Nucleus amygdalae and the area of Forel-H.