在儿童中,中状环对叶瘤的治疗方法
Paweł Kowalczyk1, Ernest J Bobeff2, Wojciech Nowak1
1Department of Neurosurgery, Children's Memorial Health Institute, Warsaw, Poland.
Neurologia i neurochirurgia polska
|February 23, 2024
概括
中间状回路 (MTG) 方法在治疗引起的儿科 mesial temporal lobe (MTL) 瘤方面是有效的. 这种外科手术方法使大多数长期神经问题最小的儿童能够摆脱发作.
科学领域:
- 神经外科 神经外科
- 儿科症 儿科症
- 神经瘤学神经瘤学
背景情况:
- 状叶 (MTL) 瘤是儿童耐药性的常见原因.
- 目前针对儿科MTL瘤与的治疗策略缺乏共识.
- 中旋 (MTG) 方法为这些病例提供了潜在的手术选择.
研究的目的:
- 评估中圈 (MTG) 手术方法在小儿患者中治疗叶 (MTL) 瘤的疗效.
- 在这个患者群体中评估MTG方法的安全性和结果.
主要方法:
- 在2002年至2020年期间治疗的14名儿科患者 (4至18岁) 的回顾性分析.
- 患者接受了MTL瘤引起的MTG方法.
- 神经导航用于精确的瘤定位和切除,包括海马;至少需要一年的随访.
主要成果:
- 所有14名患者都实现了MTL瘤的总切除,由MRI证实,在中位数2.5年的随访期间没有复发.
- 在14名患者中,有13名 (93%) 没有发作 (Engel I类).
- 过渡性神经缺陷 (失语,半衰) 发生在少数患者中,大多数患者出现改善;急性并发症在年幼儿童中更为频繁.
结论:
- 中间状回路 (MTG) 方法是一种安全有效的手术治疗与相关的儿科 mesial temporal lobe (MTL) 瘤.
- 这种技术可以进行激进的瘤和海马体切除,同时保留侧側叶.
- 这种MTG方法具有较低的永久神经并发症风险,导致儿童的控制率很高.
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