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目的 探讨儿童颅内蛛网膜囊肿（ａｒａｃｈｎｏｉｄ ｃｙｓｔ，ＡＣ）与癫癎的关系以及外科治疗方法。方法 手术治疗颅内蛛网膜囊肿伴癫癎的儿童１３例，其中额叶２例，顶叶１例，颞叶８例，枕叶２例，囊肿直径在３ｃｍ以下３例，３～６ｃｍ ９例，６ｃｍ以上１例，均采用颅内蛛网膜囊肿加致癎灶切除。结果 １３例病人中，完全不发作有４例，显著改善有７例，无变化２例。结论 儿童颅内蛛网膜囊肿伴癫癎具有脑皮质结构性异常，采用颅内蛛网膜囊肿加致癎灶切除效果较为理想。
Objective To explore the relationship between children with intracranial arachnoid cyst (AC) and epilepsy and surgical treatment. Methods Thirteen children with intracranial arachnoid cyst with epilepsy were treated surgically. There were 2 cases of frontal lobe, 1 case of parietal lobe, 8 cases of temporal lobe, 2 cases of occipital lobe, 3 cases of cyst below 3 cm in diameter and 9 cases of 3 ~ 6 cm , More than 6cm in 1 case, were used intracranial arachnoid cyst plus foci excision. Results Among the 13 patients, there were 4 cases without any attack, 7 cases with significant improvement, and 2 cases without change. Conclusion Children with intracranial arachnoid cysts with epilepsy have structural abnormalities of the cerebral cortex, intracranial arachnoid cyst plus curative effect is ideal.