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我院自1987～1990年,采用手术治疗药物难以控制的外伤性癫痫23例,其中男18例,女5例。年龄8～40岁。平均29岁。外伤类型:闭合性颅脑损伤17例,开放性颅脑损伤5例,火器伤1例。伤后至癫痫发作时间:伤后1～2年7例,2～3年6例,3～4年3例,4～5年4例,5年以上3例。发作类型:全身性抽搐大发作13例,精神运动性发作3例,有局限性全身性发作2例,局限性发作5例。本组均系癫痫发作3年以上,平均每月发作4次左右。辅助检查:(1)头颅CT检查:有脑软化灶者8例,脑萎缩4例,脑室扩大4例,脑囊肿1例,金属异物1例。(2)EEG:均有尖波,棘波或棘慢波综合发放。(3)神经心理学测验:按Wechsler记忆量表评分,IQ<69分6例,TQ<79分8例,IQ<89分7例,未查2例。手术疗式:(J)在皮质脑电图监
Our hospital from 1987 to 1990, surgical treatment of traumatic epilepsy 23 cases were difficult to control, including 18 males and 5 females. Age 8 to 40 years old. Average 29 years old. Trauma types: closed head injury in 17 cases, open head injury in 5 cases, firearm injury in 1 case. Injury to seizure time: 1 to 2 years after injury in 7 cases, 2 to 3 years in 6 cases, 3 to 4 years in 3 cases, 4 to 5 years in 4 cases, 5 years and 3 cases. Seizure types: generalized seizures in 13 cases of major episodes, psychomotor seizures in 3 cases, 2 cases of localized systemic limitations, 5 cases of localized attacks. This group were seizures more than 3 years, the average monthly attack about 4 times. Auxiliary examination: (1) cranial CT examination: 8 cases of brain softening, 4 cases of brain atrophy, ventricular enlargement in 4 cases, 1 case of brain cysts and 1 case of metal foreign body. (2) EEG: Both spike, spike or spike combination. (3) Neuropsychological test: Wechsler memory scale score, IQ <69 points in 6 cases, TQ <79 points in 8 cases, IQ <89 points in 7 cases, did not check in 2 cases. Surgical treatment: (J) EEG monitoring in the cortex