TEMPORAL LOBE EPILEPSY

TEMPORAL LOBE EPILEPSY
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DOI:
10.1111/j.1600-0404.1976.tb04353.x
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发表时间:
1976-06
影响因子:
3.5
通讯作者:
I. Jensen
I. Jensen
中科院分区:
医学3区
文献类型:
--
作者:
I. Jensen

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对丹麦1960-1969年间74例单侧颞叶切除术患者的癫痫发作类型、年龄、癫痫发作时间、术前癫痫持续时间和手术年龄进行了研究。比较内科系列和外科系列。在手术系列中,发病年龄明显较低。预后有利因素有:i)术前出现单一类型的癫痫发作;Ii)癫痫持续时间小于4年,且癫痫大发作时间小于1年;Iii)在成年早期或之前进行癫痫手术。对预后不利的因素有:i)术前存在大肿块;Ii)癫痫发病年龄或首次大发作年龄在5至20岁之间;Iii)精神运动性癫痫术前持续时间超过10年。
Types of seizures, age, at onset of epilepsy, preoperative duration of epilepsy, and age at operation were studied in the literature and in 74 patients who underwent unilateral temporal lobe resection in 1960–1969 in Denmark. the medical and surgical series were compared. the age at onset was significantly lower in the surgical series. Prognostically favourable factors were: i) preoperative presence of a single type of seizure; ii) duration of epilepsy of less than 4 years, and in grand mal epilepsy of less than 1 year; iii) operation for epilepsy in or before early adulthood. Prognostically unfavourable factors were: i) preoperative presence of grand mal; ii) age at onset of epilepsy or of the first grand mal seizure between 5 and 20 years; iii) preoperative duration of psychomotor epilepsy over 10 years.