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脑膜瘤伴发惊厥:发病率及意义

Convulsions with meningiomas: incidence and significance.

作者信息

Ramamurthi B, Ravi B, Ramachandran V

出版信息

Surg Neurol. 1980 Dec;14(6):415-6.

PMID:7221853
Abstract

In a study of a consecutive series of 127 surgically treated meningiomas, it was found that 29% of the patients had reported with convulsions as their initial symptom. In this group, surgical excision of the meningioma stopped the convulsions in about half of the patients, but the others continued to have seizures after their operations. Among those patients with meningiomas who did not have preoperative convulsions, about one-sixth (15 patients) developed postoperative seizures. Patients in both groups required prolonged anticonvulsant medication. Factors predisposing to the occurrence of postoperative seizures were the site of the tumor, faulty surgical technique, and a preoperative history of seizures.

摘要

在一项对连续127例接受手术治疗的脑膜瘤患者的研究中发现,29%的患者以抽搐作为首发症状就诊。在这组患者中,脑膜瘤手术切除使约一半患者的抽搐停止,但其他患者术后仍继续发作。在那些术前没有抽搐的脑膜瘤患者中,约六分之一(15例患者)术后出现癫痫发作。两组患者均需要长期服用抗惊厥药物。术后癫痫发作的诱发因素包括肿瘤部位、手术技术不当以及术前癫痫病史。

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2
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Antiepileptic drug prophylaxis in primary brain tumor patients: is current practice in agreement to the consensus?原发性脑肿瘤患者的抗癫痫药物预防:当前的做法是否符合共识?
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[Primary brain tumors and brain metastases. Symptomatic epilepsy and driving ability - systematic review and expert opinion].[原发性脑肿瘤和脑转移瘤。症状性癫痫与驾驶能力——系统评价与专家意见]
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J Neurol Neurosurg Psychiatry. 1999 Oct;67(4):474-80. doi: 10.1136/jnnp.67.4.474.
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