Steven David A, Andrade-Souza Yuri M, Burneo Jorge G, McLachlan Richard S, Parrent Andrew G
Epilepsy Programme, Department of Clinical Neurological Sciences, University of Western Ontario, London Health Sciences Centre, London, Ontario, Canada.
J Neurosurg. 2007 Jun;106(6):1102-6. doi: 10.3171/jns.2007.106.6.1102.
Temporal lobe epilepsy (TLE) is the most common type of surgically treatable epilepsy, with a considerable number of patients needing invasive electroencephalography monitoring. The authors describe a surgical technique used in the placement of subdural strip electrodes for coverage of the temporal lobe. The electrodes are inserted through an enlarged temporooccipital bur hole using fluoroscopic guidance. With this technique, subdural electrode strips can be safely placed to cover the mesial, inferior, and lateral temporal surfaces, and the seizure focus can be lateralized and localized within the temporal lobe. The technique does not require the use of a craniotomy, stereotactic frame, or neuronavigation systems. The authors compare this technique with previous descriptions of subdural electrode placement for the evaluation of TLE.
颞叶癫痫（TLE）是最常见的可通过手术治疗的癫痫类型，有相当数量的患者需要进行侵入性脑电图监测。作者描述了一种用于放置硬膜下条状电极以覆盖颞叶的手术技术。电极在荧光镜引导下通过扩大的颞枕骨钻孔插入。采用这种技术，硬膜下电极条可安全放置以覆盖颞叶的内侧、下部和外侧表面，癫痫病灶可在颞叶内进行侧别定位和局部定位。该技术无需开颅、立体定向框架或神经导航系统。作者将该技术与先前关于用于评估颞叶癫痫的硬膜下电极放置的描述进行了比较。
