在儿童手术失败后,立体电脑摄影的结果
Georgia M Wong1, Ashley McCray2, Kara Hom3
1Department of Neurological Surgery, Georgetown University School of Medicine, Washington, DC, USA. gw294@georgetown.edu.
概括
立体电脑图 (SEEG) 有助于识别最初手术失败后儿童的发作区 (SOZ). 由SEEG指导的后续程序显示了对扣押控制的有利结果.
科学领域:
- 儿科神经学 儿科神经学
- 神经外科 神经外科
- 发病学 (Epileptology) 是一个专业的学科.
背景情况:
- 在非侵入性方法失败时,立体电脑图 (SEEG) 对于定位抗药性的发发作区域 (SOZ) 至关重要.
- 在初始失败后的二次手术带来了挑战,儿童病例中SEEG使用的数据有限.
研究的目的:
- 评估在以前未成功的手术后接受SEEG的儿科患者的结果.
- 评估SEEG在指导儿童耐火性的后续干预措施中的有用性.
主要方法:
- 在手术失败后接受SEEG的儿科患者的回顾性分析.
- 收集的数据包括人口统计,先前的手术史,SEEG发现,管理和后续结果.
- 研究期:2016年8月至2023年2月,在一个机构.
主要成果:
- 在最初的手术失败后,13名儿科患者 (24%) 接受了SEEG.
- 在所有13名患者身上进行了后续手术 (切除或激光间歇性热疗法).
- 在2次手术后的62%的患者中,获得了有利的控制 (英格尔I/II级).
结论:
- 在儿童手术失败后,SEEG对于识别残留的发性区域非常有价值.
- 这种方法与改善儿科管理中的控制结果有关.
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