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我院从1989年开展顽固性癫痫外科手术,其中7例随诊一年以上。结合文献,对其疗效作一分析。临床资料男5例,女2例。年龄17～35岁,病程2年～25年,平均9.4年。病因:外伤性2例,血管畸形2例,囊肿1例,脑炎及产伤各1例。全部经正规内科抗痫治疗,发作不缓解。类型及频率:全身性大发作5例,复杂部分发作1例,部份发作发展为全身性发作1例。每日10余次至每月2次以上不等。神经系统检查,病变对侧肢体轻偏瘫2例。行头部摄片7例,2例显示陈旧凹陷骨折或异物。脑血管造影4例,显示小血管畸形例,2例正常。CT扫描4例,低密度病变2例,
Our hospital from 1989 to carry out intractable epilepsy surgery, of which 7 cases followed up more than one year. Combined with the literature, an analysis of its efficacy. Clinical data of 5 males and 2 females. Aged 17 to 35 years old, duration of 2 years to 25 years, an average of 9.4 years. Etiology: traumatic in 2 cases, vascular malformation in 2 cases, cyst in 1 case, encephalitis and birth injury in 1 case. All by the normal internal medicine anti-epilepsy treatment, seizures do not ease. Type and frequency: 5 cases of generalized seizures, 1 case of complex partial seizures, and 1 case of partial seizures as generalized seizures. More than 10 times a day to more than 2 times per month. Neurological examination, lesion contralateral hemiplegia in 2 cases. Line head radiography in 7 cases, 2 cases of obsolete fracture or foreign body. Cerebral angiography in 4 cases, showed small vessel malformations, 2 cases of normal. CT scan in 4 cases, low density lesions in 2 cases,