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我院自1989年5月以来,采用胼胝体前部切开治疗顽固性癫痫7例,效果满意,现报告如下。临床资料一、一般资料:男5例,女2例。年龄16至44岁。病程为7至24年。可能病因中高热病史2例,头部外伤史2例,不明原因者3例。癫痫发作类型:7例均为全身性大发作(1例伴有失神小发作,3例伴有不同程度癫痫慢样性精神病表现)。二、辅助检查:7例术前脑电图检查均异常,主要表现为双侧阵发性棘波、慢波及棘慢波综合,均以额颞及中央区显著。只有3例行头颅CT检查,2例有不同程度脑萎缩,1例无异常。脑血管造影3例均无异常。三、手术结果:本组无手术死亡及严重并发症,发生暂时性大脑失连综合征及右侧
Our hospital since May 1989, the use of anterior corpus callosum incision stubborn epilepsy in 7 cases, the results are satisfactory, are as follows. Clinical data First, the general information: 5 males and 2 females. Age 16 to 44 years old. Duration of 7 to 24 years. Probable causes of fever in the history of 2 cases, 2 cases of head trauma, 3 cases of unknown reasons. Epileptic seizures type: All the 7 cases were generalized seizures (one with minor absence and 3 with chronic dementia). Second, the auxiliary examination: 7 cases of preoperative EEG were abnormal, mainly manifested as bilateral paroxysmal spikes, slow wave and spike and slow wave synthesis, both frontotemporal and central regions were significant. Only 3 cases of skull CT examination, 2 cases of varying degrees of brain atrophy, 1 case without exception. Cerebral angiography in 3 cases were normal. Third, the surgical results: This group of non-operative death and serious complications, the occurrence of temporary brain degeneration syndrome and the right