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在颞叶癫痫(TLE)术前评估中,如果各种非侵入性方法的结果汇总后不能准确提示癫痫灶,那么侵入性方法就必要了。为检查颞叶内侧部的癫痫放电,本文作者应用了海绵窦插管技术,对6位难治性TLE病人(1男5女,年龄17～50岁,平均年龄35岁)记录了海绵窦EEG。 方法:局麻下经颈内静脉,岩下窦将作者稍加改造的Seeker Lite-10导丝放入双侧海绵窦作为记录电极,
In the preoperative evaluation of temporal lobe epilepsy (TLE), invasive methods are necessary if the results of various noninvasive methods can not accurately present the epileptic focus. To examine the epileptiform discharge in the medial temporal lobe, we used a cavernous sinus intubation technique to record cavernous sinus EEG in 6 refractory TLE patients (1 males and 5 females, aged 17 to 50 years, mean age 35 years) . METHODS: Seeker Lite-10 guidewire modified slightly by inferior jugular vein and inferior petrosal sinus under local anesthesia was inserted into bilateral cavernous sinus as a recording electrode,