论文部分内容阅读
癫痫是动静脉畸形(AVM)的重要症状,自Dandy和Cushing首次报告以来已为人们所认识,但对其远期预后则很少引人注意。本文试图明确地判定其远期预后及内外科治疗对控制癫痫发作的疗效。本组115例AVM均经脑血管造影证实,男62例,女53例,111例(92.5%)位于幕上,9例(7.5%)局限于脑干或小脑。4例有1个以上的畸形,另1例为双侧广泛的畸形。66例(57%)有癫痫发作,癫痫为首发症状的有36例(31%),均为幕上AVM,首发年龄6～30岁(平均23岁)。在出血或手术后30天内发作者14例,另16例在出血或手术后6个月至16年(平均3.5年)后发生癫痫。单纯局限性运动性发作伴或不伴有全身性发作是最常见的类型,占总数的58%,
Epilepsy is an important symptom of arteriovenous malformations (AVMs) and has been recognized since the first reports by Dandy and Cushing, but seldom attracts attention for its long-term prognosis. This article attempts to clearly determine its long-term prognosis and surgical treatment of epileptic seizures curative effect. This group of 115 cases of AVM were confirmed by cerebral angiography, 62 males and 53 females, 111 cases (92.5%) on the screen, 9 cases (7.5%) confined to the brain stem or cerebellum. Four cases had more than one deformity and the other one had bilateral extensive deformity. Thirty-six (57%) had epileptic seizures and 36 (31%) had epilepsy as the first symptom, all of them AVM on the screen, with a starting age of 6 to 30 years (mean, 23 years). Fourteen patients were found to have had hemorrhage or surgery within 30 days and the other 16 had epilepsy after hemorrhage or 6 months to 16 years after surgery (mean, 3.5 years). Simple localized exercise episodes with or without generalized episodes were the most common type, accounting for 58% of the total,