Malformations
Malformations
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DOI：
10.1055/b-0034-77914
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发表时间：
2018-10
期刊：
影响因子：
--
通讯作者：
Huy M Do
中科院分区：
文献类型：
--
作者：
Huy M Do
来自明尼苏达州罗切斯特市梅奥诊所神经内科和神经外科的一项回顾性研究报道了20例连续接受手术治疗难治性部分癫痫的脑血管畸形患者。MRI比CT更敏感，36例血管畸形（海绵样32例，A-V型4例）。18例患者证实既往出血。病灶完全切除后，15例无癫痫发作，3例控制90%。发病年龄和癫痫发作时间对结果没有影响。在11例mri显示同侧内侧颞叶萎缩的患者中，除了病变切除外，还需要行局灶性皮质切除术。(Dodick DW, Cascino GD, Meyer FB。血管畸形和顽固性癫痫：手术后的结果
VASCULAR MALFORMATIONS AND INTRACTABLE EPILEPSY A retrospective study of 20 consecutive patients with cerebral vascular malformations who were treated surgically for medically refractory partial epilepsy is reported from the Departments of Neurology and Neurologic Surgery, Mayo Clinic, Rochester, MN. MRI was more sensitive than CT and showed 36 vascular malformations (32 cavernous and 4 A-V malformations). Previous hemorrhage was verified in 18 patients. After complete resection of the lesion, 15 patients were free of seizures and 3 had a 90% control. Age of onset and duration of seizures did not affect outcome. A focal corticectomy in addition to lesionectomy was necessary in 11 patients with MRI-disclosed ipsilateral medial temporal lobe atrophy. (Dodick DW, Cascino GD, Meyer FB. Vascular malformations and intractable epilepsy: Outcome after surgical