儿童偏瘫性癫痫很难用抗惊药物控制其发作。一直存在癫痫状态致死的危险性,常出现进行性智力减退,表现出行为异常,伴有攻击性行为等。krynauw 1950年首次报道大脑半球切除术治疗儿童偏瘫性癫痫。本文作者通过对17例接受这种手术病人36年追踪研究发现:该手术对偏瘫性癫痫病人相当有益。本组17例病人中,8例与围产期并发症,9例与早期发热性癫痫状态有关。发病年龄在10岁以内,术前患病时间3.5～12年,平均6年。发作类型从短暂跌倒发作到可致命的持续状态。很多病例发作频繁,有时20～30次/日,药物疗效差。行为障碍是临床主要问题,无原因盛怒和攻击行为频繁发生。除三个女孩外,其余有时每天暴发 Child hemiplegic epilepsy is difficult to control the onset of anti-shock drugs. There has been the risk of lethal epilepsy, often appear progressive mental retardation, showing abnormal behavior, with aggressive behavior. Krynauw first reported in 1950 hemispherectomy for children with hemiplegia epilepsy. The authors of this study of 17 patients who underwent this surgery 36-year follow-up study found that: the surgery is quite beneficial to patients with hemiplegia epilepsy. Of the 17 patients in this group, 8 were associated with perinatal complications and 9 with early febrile seizures. The age of onset within 10 years of age, preoperative disease time 3.5 to 12 years, an average of 6 years. The type of seizure from a brief fall episode to a lethal sustained state. Many cases of seizures frequent, and sometimes 20 to 30 times / day, poor efficacy of the drug. Behavioral disorders are the main clinical problems, there is no reason for angry and aggressive behavior occurs frequently. Except for the three girls, the rest sometimes make outbreaks every day