焦点耐药性的手术内皮质电图:一个10年的回顾性单中心研究
Amani Alshahrani1, Ziyad Mohammed Althani1, Raidah Al-Baradie2
1Department of Adult Neurology, King Fahad Specialist Hospital, Dammam 31444, Saudi Arabia.
Biomedical reports
|September 10, 2025
概括
导向手术的内科外电皮质图 (ECoG) 显著改善了发作的结果. 手术后的ECoG静默是完全无的强有力的预测指标,突出ECoG.
科学领域:
- 神经外科 神经外科
- 发病学 (Epileptology) 是一个专业的学科.
- 神经生理学 神经生理学
背景情况:
- 在手术中,手术内电皮质谱 (ECoG) 对于定位发性区域至关重要.
- 关于ECoG指导手术的单一中心经验和长期结果的数据有限,特别是在东地中海地区.
研究的目的:
- 评估ECoG导向手术在实现无发作方面的有效性.
- 评估切割后ECoG发现在预测手术结果中的作用.
主要方法:
- 对30名耐药患者进行ECoG指导手术的回顾性分析 (2013-2024年).
- 对患者数据,手术干预和结果的审查.
- 对手术内发现和切除后ECoG的评估,以确定切除程度.
主要成果:
- 在30名患者中,有19名患者 (63.3%) 实现了完全无发作 (Engel Class I).
- 在所有患者中,ECoG确定了发性区域.
- 43.3%的患者在手术后的心电图上没有残留的间接排泄.
结论:
- 以ECoG指导的手术在改善发作结果方面是有效的.
- 手术后的ECoG静音准确地预测了发作的自由性,验证了其在优化手术切除中的实用性.
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