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自1988年4月起,我科采用不同类手术治疗婴儿偏瘫伴顽固性癫痫18例,初步报告如下。临床资料一般资料:男115例,女3例。<5岁3例,6～10岁3例,11～15岁6例,>16岁6例,平均年龄13.4岁。手术时病程:1～10年6例,11～20年11例,>20年1例,平均11.1年。癫痫类型:复杂部分性发作5例,部分性发作导致全身性发作8例,全身性发作5例。大发作频率:每周少者1～3次,多者每天1次以上,多数有癫痫持续状态史。检查:一侧肢体肌力Ⅲ～Ⅳ°者10例,其中6例单肢萎缩、失用;一侧肢体肌力Ⅱ～Ⅲ级2例,其中有l例自幼瞳孔左>右;
Since April 1988, our department used different types of surgical treatment of infantile hemiplegia with refractory epilepsy in 18 cases, the initial report is as follows. General information on clinical data: 115 males and 3 females. <5 years old in 3 cases, 6 to 10 years in 3 cases, 11 to 15 years in 6 cases,> 16 years in 6 cases, the average age of 13.4 years. Duration of surgery: 1 to 10 years in 6 cases, 11 to 20 years in 11 cases,> 20 years in 1 case, an average of 11.1 years. Type of epilepsy: complex partial seizures in 5 cases, partial seizures led to systemic attacks in 8 cases, systemic attacks in 5 cases. The frequency of major episodes: less than 1 to 3 times per week, more than 1 times per day, most have a history of status epilepticus. Examination: One limb muscle Ⅲ ~ Ⅳ ° in 10 cases, of which 6 cases of unilateral limb atrophy, loss; limb muscle Ⅱ ~ Ⅲ grade in 2 cases, of which 1 case young pupil left> right;