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我院自1976～1991年开展癫痫手术52例,其中10例应用皮层电极和深部电极刺激下皮层脑电图(ECoG)进一步确定痫灶和重要功能区范围,从而提高治疗效果,减少并发症。临床资料:男性6例,女性4例。年龄:14～43岁。病程3～29年。正规抗痫药物治疗3年以上无效者。发作频繁度:每日数次～每月数次不等。发作类型:部分性发作2例。复杂部分性发作6例,全身性发作2例。有明确病因8例(脑炎后2例,外伤后6例)。不明原因2例。EEG:局限性尖棘波1例,一侧性半球棘慢波7例,双侧弥漫性棘波2例。CT:脑软化灶6例,蛛网膜巨大囊肿2例,脑萎缩1例,阴性1例。根据CT和EEG提示,一侧或局限性异常,选
Our hospital from 1976 to 1991, 52 cases of epilepsy surgery, of which 10 cases of cortical electrodes and deep electrode stimulation of the subcortical EEG (ECoG) to further determine the scope of the epileptic foci and important functional areas, thereby enhancing the therapeutic effect and reduce complications. Clinical data: 6 males and 4 females. Age: 14 ~ 43 years old. Course of 3 to 29 years. Formal anti-epileptic drug therapy for more than 3 years were ineffective. Frequency of seizures: several times a day ~ several times a month. Type of attack: partial seizures in 2 cases. Complex partial seizures in 6 cases, 2 cases of systemic attacks. There are 8 clear causes (2 after encephalitis, 6 after trauma). 2 cases of unknown reason. EEG: limited spike wave in 1 case, hemisphere spike slow wave in 7 cases, bilateral diffuse spikes in 2 cases. CT: brain softening in 6 cases, 2 cases of arachnoid cysts, 1 case of brain atrophy, negative in 1 case. According to CT and EEG tips, one side or limitations of abnormalities, election