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癫痫是脑胶质瘤,尤其是幕上胶质瘤常见的临床症状,也可能是唯一的最早临床表现。有学者认为具有癫痫表现的低分级胶质瘤,可以作为预后较好的一种胶质瘤单独分类。然而目前对胶质瘤诱发癫痫的机理还不很清楚。本研究回顾性分析了幕上胶质瘤患者病理和影像学资料,旨在初步探讨幕上胶质瘤的致癫因素,以指导此类胶质瘤的手术治疗和预后判断。本研究中所有的病人均有术前CT和/或MRI资料,根据CT和/或MRI表现确定肿瘤发生部位,并侧重观察肿瘤生长特性如水肿、占位效应、钙化、与皮层关系等各个因素与癫痫发作的关系。病理诊断采用WH0标准结合Kernohan I-IV级分类法。结果显示额叶胶
Epilepsy is a common clinical symptom of gliomas, especially supratentorial gliomas, and may also be the earliest clinical manifestation. Some scholars believe that low-grade gliomas with epilepsy can be classified as a good prognosis glioma. However, the mechanism of epilepsy induced by glioma is not clear yet. This study retrospectively analyzed the pathology and imaging data of patients with supratentorial glioma, aimed to initially explore the epilepsy factors of supratentorial glioma to guide the surgical treatment and prognosis of glioma. All patients in this study had preoperative CT and / or MRI data to determine tumor location based on CT and / or MRI findings and to focus on observing various factors such as tumor growth characteristics such as edema, mass effect, calcification, and cortical relationships Relationship with seizures. Pathological diagnosis using WH0 standard combined with Kernohan I-IV level classification. The results show frontal gum