立体电脑摄影期间的血管性 oedema:内模式和晚发的临床影响
D Taussig1, A M Petrescu2, A Herbrecht3
1Université Paris Saclay-APHP, Neurophysiologie et Epileptologie, Le Kremlin Bicêtre, France. delphine.taussig@aphp.fr.
Journal of neurology
|July 24, 2024
概括
的立体电脑图 (SEEG) 很少会导致血管性脑. 在SEEG期间意外的三角形减速可能表明这种并发症,这通常是有利的解决.
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:
- 内探索,特别是立体电脑摄影 (SEEG),对于耐药焦点手术至关重要.
- 虽然SEEG通常是安全的,但大约2%的病例会出现出血和感染等并发症.
- 血管性脑是SEEG的罕见但显著的并发症.
研究的目的:
- 在SEEG程序后报告和描述血管性脑的病例.
- 为了确定这种罕见并发症的潜在电生理学指标.
- 评估SEEG诱导的血管性脑的患者的临床过程和结果.
主要方法:
- 在2017年1月至2023年9月期间接受SEEG的85名患者的回顾性分析.
- 临床数据,SEEG记录和移植后神经成像 (MRI) 的详细审查.
- 电生理学发现与血管性脑 edem 的发展的相关性.
主要成果:
- 三名患者 (3.5%) 在SEEG后发展出临床相关的血管性脑.
- 在非发性区域的受影响患者中观察到无症状释放的意想不到的焦点三角形减速.
- 一名患者在移植后经历过渡性混乱;所有胀在几个月内消失.
- 没有特定的因素 (电极数,位置,持续时间) 被确定为导致的发展.
结论:
- 在SEEG期间的焦点三角形减速和节律性放电可能是潜在的血管性脑的信号.
- 在电极爆炸后,可能会发生诸如混乱等临床后果.
- 在SEEG之后的血管性脑有良好的预后,但需要仔细识别误导性的电生理学模式.
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