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1989年我们应用了J—63型植入式小脑刺激器对2例符合癫痫性精神障碍的诊断标准,且至少应用三种以上抗癲痫药物及抗精神病药物达到足够治疗时间而病情无明显改善的患者进行手术治疗。同时对患者进行治疗前后的精神检查及效果评价,疗效评定按现行的临床五级评定标准进行。例1:倪某,男,57岁。癫痫发作已33年,呈大发作形式,1980年以来出现伤人,毁物及病理性赘述等精神异常表现,检查:IQ86,MMPI测定为分裂型人格,脑电图示阵发性棘慢波和尖慢波,左右半球交替出现。行小脑刺激术,参数为: 频率(Hz)100,电压峰值(Vpp)5.8,脉冲宽度1.0ms,定期刺激,治疗三个半月至出院后一年半,对患者进行随访,
In 1989, we applied J-63 implantable cerebellum stimulator to diagnose two cases of epilepsy with mental disorders, and at least three kinds of antiepileptic drugs and antipsychotics were used to achieve sufficient treatment time without any significant improvement in the disease Of patients for surgical treatment. At the same time before and after treatment of patients with mental examination and evaluation of the effectiveness of the assessment according to the current clinical five-level assessment standards. Example 1: Ni Mou, male, 57 years old. Epileptic seizures have been 33 years, was a major form of attack, since 1980, wounding, destruction and pathological details and other mental abnormalities, check: IQ86, MMPI was determined as schizotypal personality, EEG showed paroxysmal spikes and waves Sharp and slow waves, left and right hemispheres alternately. Cerebellum stimulation, the parameters: frequency (Hz) 100, the voltage peak (Vpp) 5.8, the pulse width of 1.0ms, regular stimulation, treatment of three and a half months to a year and a half after discharge, the patient was followed up,