一位神经外科医生的观点：内侧颞叶癫痫射频消融术后的结果

A neurosurgeon's view: Outcome after RF-ablation for mTLE.

作者信息

Malikova Hana, Liscak Roman

机构信息

Department of Stereotactic and Radiation Neurosurgery, Na Homolce Hospital, Prague, Czech Republic; Radiology Department, Faculty Hospital Kralovske Vinohrady and Third Medical Faculty of Charles University, Prague, Czech Republic.

Department of Stereotactic and Radiation Neurosurgery, Na Homolce Hospital, Prague, Czech Republic.

出版信息

Epilepsy Res. 2018 May;142:126-130. doi: 10.1016/j.eplepsyres.2017.08.011. Epub 2017 Aug 25.

DOI:10.1016/j.eplepsyres.2017.08.011

PMID:28864308

Abstract

We reviewed the current RF-ablation technique for mTLE and complications relating to the procedure. RF-ablation of the amygdalohippocampal complex (AHC) is a stereotactic technique, performed under local anesthesia, which achieved long-term seizure-free clinical seizure outcomes in 71% of mTLE patients. Occipital access is used and thermolesions are made from a single trajectory in the long axis of the AHC. RF-ablation has shown a low complication rate and clinical seizure outcomes seem to be comparable with open surgical techniques.

摘要

我们回顾了目前用于内侧颞叶癫痫（mTLE）的射频消融技术以及与该手术相关的并发症。杏仁核海马复合体（AHC）的射频消融是一种在局部麻醉下进行的立体定向技术，该技术使71%的mTLE患者获得了长期无癫痫发作的临床疗效。采用枕部入路，从AHC长轴的单一轨迹进行热凝毁损。射频消融显示出较低的并发症发生率，其临床癫痫疗效似乎与开放手术技术相当。