颅骨钻孔硬脑膜下电极置入视频脑电监测在致癎灶定位中的应用

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Abstract Objective To investigate the outcome and complications of localization of epileptogenic foci via video electroencephalography monitoring through the subdural electrodes implanted by sphenotresia.Methods The data on 65 intractable epilepsy patients who underwent the implantation of subdural electrodes by sphenotresia and video electroencephalography monitoring between November 2006 and October 2013 was reviewed and analyzed.Results Sixty-five cases of epileptogenic foci were identified , so the localization rate was 100%(65/65). One case of complications occurred, which was focal brain contusion and laceration,so the rate of complications was 1.54%. One patient died, and the mortality rate was 1.54%. There were no severe and permanent neurological complications in any of the patients. All the 65 cases underwent resection of epileptogenic foci. The mean postoperative follow-up was (24.8±10.5)months. According to the Engel classification on surgical outcomes, the surgical outcomes were as follows: Engel Ⅰ, n=40, 61.54%; Engel Ⅱ, n=9, 13.85%; Engel Ⅲ, 12, 18.46%; Engel Ⅳ, n=4, 6.15%. Good seizure control (Engel class Ⅰ and Ⅱ) was obtained in 49 (75.38%) patients.Conclusions The effect of localization of epileptogenic foci via video electroencephalography monitoring through the subdural electrodes implanted by sphenotresia is significant.This approach is safe and feasible.The result of resection of epileptogenic foci localized by this method is good.

Key words： subdural electrode intracranial electrode implantation video electroencephalography intractable epilepsy epileptogenic focus sphenotresia

Received: 05 July 2018

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	Articles by authors
	ZHANG Baozhong
	ZHANG Ting
	WANG Fei
	LIAO Yuzhi
	WANG Zhaowei
	ZHANG Yiming
	YUAN Lei

Cite this article:

ZHANG Baozhong,ZHANG Ting,WANG Fei等. Localization of epileptogenic foci via video electroencephalography monitoring through subdural electrodes implanted by sphenotresia[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(11): 1075-1077.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2018/V29/I11/1075

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