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1998年11月到2002年6月,我院采用经侧裂入路切除岛叶区胶质瘤26例。现报告如下。 临床资料:本组男15例,女11例;年龄18～59岁,平均37.5岁。均为右利手。临床均以癫痫起病,部分性发作14例,全身性发作12例;头痛10例,逆行性遗忘2例,眼底水肿9例,病变对侧肢体肌力下降及偏身感觉减退4例,无阳性体征12例。核磁共振(MRI)检查示病变位于左侧19例,右侧7例;肿瘤直径2.5～6cm。单纯累及岛叶13例,向额部发展7例,颞部发展4
From November 1998 to June 2002, 26 cases of glomerulus in the island were excised by the fissure approach. The report is as follows. Clinical data: The group of 15 males and 11 females; aged 18 to 59 years, mean 37.5 years. Are right hand. Clinical onset of epilepsy, partial seizure in 14 cases, systemic attack in 12 cases; headache in 10 cases, 2 cases of retrograde amnesia, fundus edema in 9 cases, decreased contralateral limb muscle strength and bodily sensation in 4 cases, no Positive signs in 12 cases. MRI showed that the lesion was located on the left side in 19 cases and on the right side in 7 cases. The tumor diameter was 2.5-6 cm. Thirteen cases were involved in the insula only, 7 cases developed to the forehead and 4 developed in the temporal region