位于大脑中部和深部的洞穴形可能容易导致洞穴形相关的虚假横向化
Keisuke Hatano1, Keishiro Sato1, Tomohiro Nakamura2
1Comprehensive Epilepsy Center, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Nakaku, Hamamatsu, Shizuoka, 430-8558, Japan.
Heliyon
|March 28, 2024
概括
在洞穴形 (CM) 中,虚假侧面化发生在EEG发现与CM位置不匹配时. 中部和深部CM更有可能导致这种差异,需要仔细的手术规划.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 发病学 (Epileptology) 是一个专业的学科.
背景情况:
- 洞穴形 (CMs) 是的已知原因之一.
- 头皮脑电图 (EEG) 和CM位置之间可能存在差异.
- 在CM相关中,虚假横向化 (FL) 需要进一步研究.
研究的目的:
- 调查CM相关患者中虚假横向化 (FL) 的患病率和特征.
- 为了测试FL在中间和深CM位置更常见的假设.
- 为了比较CM相关的FL和非FL组的特征.
主要方法:
- 对32名CM相关患者的回顾性分析.
- 对MRI和外科手术结果进行间接性形放电 (IED) 和间接性放电的FL调查.
- FL和非虚假横向化 (NFL) 组的比较.
主要成果:
- 对IED来说,FL频率为10.3%,对MRI来说是7.7%.
- 对外科手术结果而言,FL频率为IED的10.5%,对外科手术结果而言,ictal排放的7.7%.
- 与NFL组 (23.1%;p=0.023) 相比,FL组 (100%) 的中部和深部CM位置明显更为普遍.
结论:
- 与CM相关的可以表现出虚假的横向化,特别是在中间和深层CMs.
- 单靠头皮EEG发现可能不足以确定切除区域.
- 在CM相关中仅基于EEG进行手术时,建议谨慎计划手术.
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