Long‐term follow‐up after cerebral hemispherectomy
Long‐term follow‐up after cerebral hemispherectomy
复制标题
大脑半球切除术后的长期随访
DOI：
10.1212/wnl.32.6.629
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发表时间：
1982
期刊：
影响因子：
9.9
通讯作者：
J. Lapointe
中科院分区：
文献类型：
--
作者：
C. Verity;E. Strauss;P. Moyes;Juhn A. Wada;H. G. Dunn;J. Lapointe
8例患者在大脑半球切除术后3至16年（平均10年）进行了研究。七人患有婴儿偏瘫，一人患有斯特-韦伯病。术前评估包括对颈动脉内药物注射的EEG反应。术后并发症7例。手术后，癫痫发作频率明显减少，行为改善，智力或偏瘫变化不大。四名患者的神经心理学评估显示，他们没有失语症，但非语言空间能力差。CT显示6例患者中有5例患者的剩余半球明显移位。
Eight patients were studied 3 to 16 years (mean, 10 years) after cerebral hemispherectomy. Seven had infantile hemiplegia, and one had Sturge-Weber disease. Preoperative assessment included EEG responses to intracarotid drug injections. Postoperative complications occurred in seven patients. The operation was followed by a marked reduction in seizure frequency and improvement in behavior, with little change in intellect or hemiplegia. Neuropsychological assessment performed in four patients showed that they were not aphasic, but nonverbal spatial abilities were poor. CT showed marked shift of the remaining hemisphere in five of six patients scanned.