癫痫手术中运用皮层和深部电极描记,能够确定癫痫灶的切除范围,不仅有助于准确切除痫灶,还能避免伤害重要功能区,对癫痫手术有重要指导作用,本文报告临床应用中的初步体会。临床资料:本组36例中,男23例,女13例;年龄11～39岁,平均20.8岁;病程5～16年,平均11.3年。病因以原发性较多,其发作类型2/3病例为大发作或伴有失神发作;临床上均符合顽固性癫痫或颞叶癫痫的诊断标准。术前行皮层脑电图检查,在有定位性改变的28例中均可见痫性波放电。头颅CT扫描23例与头皮脑电图定位相同。根据临床症状特点、头皮EEG及头颅CT扫描确定手术方式。术中脑电监护:定向术中一般先测杏仁核,后测Forel—H区,当痫性放电波不明显时,可用射频仪刺激器,5～110Hz,4～10秒刺激。前颞 Epilepsy surgery using cortical and deep electrode tracings, can determine the excision of epileptic foci range, not only help to accurately remove the epileptic foci, but also to avoid damage to important functional areas, epilepsy surgery has an important guiding role, this article reports the initial clinical application Experience. Clinical data: The group of 36 patients, 23 males and 13 females; aged 11 to 39 years, mean 20.8 years; duration of 5 to 16 years, an average of 11.3 years. Etiology to more primary, the type of attack 2/3 cases of major episodes or absence of seizures; clinically consistent with intractable epilepsy or temporal lobe epilepsy diagnostic criteria. Preoperative cortical EEG examination, in 28 cases with changes in positioning can be seen in epileptic wave discharge. 23 cases of cranial CT scan and scalp EEG positioning the same. According to the characteristics of clinical symptoms, scalp EEG and cranial CT scan to determine the surgical approach. Intraoperative EEG monitoring: Directional surgery generally first test almond, measured Forel-H area, when the epileptiform discharge wave is not obvious, available RF stimulator, 5 ~ 110Hz, 4 to 10 seconds to stimulate. Anterior temporal