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作者应用特制超声行功能性大脑半球切除术治疗小儿癫痫8例,减少了解剖学上的半球切除术所引起的长期并发症而又不降低控制癲痫发作的效率,获得较好效果。 临床资料和方法:本组8例,4男,4女,年龄10个月～23岁,均为先天性偏瘫及难治性癫痫患者,术前MRI最常见的发现是一侧脑室扩大伴穿通畸形。术中先用特制的超声探针置于颞叶后上方,以鉴别侧脑室颞角位置。颞叶切除包括整个侧方的颞回切除,随后
The authors applied special ultrasound to perform functional hemispherectomy in children with epilepsy in 8 cases, reducing the long-term complications caused by anatomical hemispherectomy without reducing the efficiency of control of seizures, get better results. Clinical data and methods: The group of 8 patients, 4 males and 4 females, aged 10 months to 23 years of age, are patients with congenital hemiplegia and refractory epilepsy, the most common preoperative MRI findings is a ventricle enlargement with through deformity. Intraoperative use of special ultrasonic probe placed in the temporal lobe at the top to identify the temporal ventricle position. Temporal lobe resection includes the entire lateral resection of the temporal back, followed by