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Updated: Jun 21, 2025

$Stereo-Electro-Encephalo-Graphy SEEG With Robotic Assistance in the Presurgical Evaluation of Medical Refractory Epilepsy: A Technical Note$

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Published on: June 13, 2016

耐火性焦点患者的SEEG-RFTC:来自121例病例的现实世界结果

Qiangqiang Liu^1,2, Yanqing Cai¹, Ziyu Mao¹

¹Clinical Neuroscience Center, Ruijin Hospital Luwan Branch, Shanghai Jiao Tong University School of Medicine, Shanghai, P. R. China.

Annals of clinical and translational neurology

|July 5, 2024

概括

立体电脑学引导的射频热凝血 (SEEG-RFTC) 为耐药焦点提供了有利的结果. 磁力共振成像阳性是成功的发作自由和对这种微创治疗的反应的关键预测因素.

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:

耐火性焦点带来了重大的治疗挑战.
立体电脑学引导的射频热凝 (SEEG-RFTC) 是一种新兴的微创治疗选择.
关于SEEG-RFTC结果的现实数据仍然有限.

研究的目的:

在现实临床环境中评估SEEG-RFTC的结果.
为了确定SEEG-RFTC治疗焦点成功的预测因素.

主要方法:

对121名接受SEEG-RFTC的患者进行了回顾性观察性研究.
通过无发作率和反应率 (≥50%的发作频率减少) 评估结果.
预测因素的分析,包括病病因和MRI发现.

主要成果:

平均随访时间为18.3个月.
总体应答率为67.8%,其中44.6%没有发作.
皮层发育的形和海马硬化症显示出高响应率和无发作率.
核磁共振成像阳性是发作自由 (p<0.01) 和反应 (p<0.01) 的显著预测因素.

结论:

SEEG-RFTC是一种安全有效的治疗耐药焦点.
病病因和MRI发现与治疗结果相关.
磁力共振成像阳性是有利的SEEG-RFTC结果的强有力的预测指标.

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