摘要
目的提高颅内结核性肉芽肿合并癫痫的诊断和手术治疗水平。方法回顾性分析30例颅内结核性肉芽肿的临床表现、诊断和手术方式及疗效。结果28例全切并行致痫灶切除或皮层热灼术。2例全切加减压;术后均予正规的抗结核及抗癫痫药物治疗。除1例死亡外,共余全部治愈出院。结论内结核性肉芽肿合并癫痫的诊断应结合临床表现、影像学特点、实验检查及三维脑电图偶极子源定位检查和抗结核疗效进行综合分析。在严格掌握手术适应症的情况下,手术切除肉芽肿及处理致癫灶,收效满意。
Objective To improve the level in diagnosis and surgical treatment of intracranial tuberculous granuloma complicated with epilepsy. Methods The clinical menifetations, diagnosis, operative modes and the curative effects of 30 cases with intracranial tuberculosis were retrospectively analyzed. Results Surgical removal of the total tuberculous granuUoma along with all the focus or theremo - coagulation on the cortexes of 28 cases, surgical total removal of tuberculous granuloma and decompression of 2 cases were perofrmed. Conventional anti - tuberculosis and anti - epilepsy medication was applied after the operation. All patients were cured except a death. Conclusion The diagnosis of tuberculosis complicated with epilepsy should be carried out based on comprehensive analysis of clinical menifetations, radiological characteristics, experimental verification, and stereo- EEG diapele focus location as well as anti - tuberculosis treatment. With carefully control of surgical indications, removal of intracranial tuberculonsgranuloma and treatment of epilepsy focus through surgical operation is effective and satisfactory.
出处
《中国热带医学》
CAS
2007年第12期2276-2277,共2页
China Tropical Medicine
关键词
结核性肉芽肿
癫痫
诊断
手术
Tuberculous granuloma
Epilepsy
Diagnosis
Surgical treatment
