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目的 对仅有海马萎缩 (硬化 )的颞叶癫痫的诊断和手术治疗作一探讨。方法 对 2 4例病人术前进行的EEG、MRI、SPECT检查及手术治疗进行回顾性分析。结果 2 4例病人均行前颞叶、杏仁核、前海马切除 ,其中对 3例位优势半球语言区的致痫灶作了多处软脑膜下横切术 (MST) ,术后随访 12个月以上 ,癫痫发作消失者 18例(75 % ) ,发作减少者 6例 (2 5 % ) ,无 1例出现语言障碍。结论 海马萎缩可通过MRI检查量化分析 ,手术治疗可获得满意效果。
Objective To investigate the diagnosis and surgical treatment of temporal lobe epilepsy with only atrophy of the hippocampus (sclerosis). Methods The EEG, MRI, SPECT and surgical treatment of 24 patients were retrospectively analyzed. Results Twenty-four patients underwent resection of the anterior temporal lobe, the amygdala and the anterior hippocampus. Among them, multiple transectional transection (MST) was performed on the epileptogenic zone in three dominant hemispheric language regions, followed by 12 Months, seizures disappeared in 18 cases (75%), seizure reduction in 6 cases (25%), no case of speech disorders. Conclusion Atrophy of hippocampus can be quantified by MRI, and satisfactory results can be obtained by surgical treatment.