婴儿半球切除术:与21名患者的机构经验
Dominic Nistal1, Robert Buckley1, Scott Boop1
11Department of Neurological Surgery, University of Washington & Division of Neurosurgery, Seattle Children's Hospital, Seattle, Washington; and.
Journal of neurosurgery. Pediatrics
|January 22, 2026
概括
功能性半球切除术是一种安全有效的治疗药物耐药性 (DRE) 婴儿,实现了良好的控制. 这种程序为患有半球发作的婴儿提供了显著的好处,改善了他们的生活质量.
科学领域:
- 儿科神经外科 儿科神经外科
- 发病学 (Epileptology) 是一个专业的学科.
- 手术神经科学手术神经科学
背景情况:
- 婴儿的耐药性 (DRE) 通常源于结构异常,导致难以控制的和神经发育障碍.
- 半球切除术是一种已知的耐火性的治疗方法,但由于安全问题,在婴儿中使用有限.
研究的目的:
- 审查婴儿半球切除术的机构经验.
- 在这个年轻人群中证明功能半球切除术的安全性和有效性.
主要方法:
- 对婴儿 (<1岁) 进行DRE修改功能半球切除术的回顾性图表审查.
- 主要结局:在1年的随访后,有利的结局 (恩格尔类I-II).
- 二次结果:并发症,脑水,营养支持,药物负担.
主要成果:
- 21名婴儿 (平均年龄6.2个月) 接受了手术;脑内膜病是最常见的原因 (52%).
- 没有严重的不良事件;并发症包括静脉鼻血栓 (5%),水脑病 (14%),电解质失调 (5%).
- 95%的人获得了有利的发作结果 (英格尔I-II类),90%的人获得了英格尔I类.
结论:
- 功能性半球切除术在患有半球发作的婴儿中是安全的和耐受性的.
- 该程序提供了出色的扣押控制结果.
- 尽量减少血液流失和多学科护理对于成功至关重要;需要对长期结果进行进一步研究.
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