Carmant L, O'Tuama L A, Roach P J, Kramer U, Mikati M A, Riviello J J, Helmers S L, Madsen J R, Black P M, Lombroso C T
Department of Neurology, Children's Hospital; Harvard Medical School, Boston, Massachusetts 02115.
Pediatr Neurol. 1994 Oct;11(3):203-7. doi: 10.1016/0887-8994(94)90103-1.
With recent descriptions of the modified hemispherectomies and hemicorticectomy, there has been renewed interest in hemispherectomy for treatment of intractable seizures with hemiparesis. Because long-term outcome remains uncertain, patient selection remains difficult. 99mTc-HmPAO brain SPECT has been a helpful adjunct in the evaluation of epilepsy surgery candidates. We report SPECT scan findings in 7 patients who underwent hemispherectomy and compare these results with scalp EEG findings. Six patients had unilateral SPECT findings and all had a favorable outcome, regardless of surface EEG findings.
随着最近对改良半球切除术和大脑半球皮质切除术的描述，人们对采用半球切除术治疗伴有偏瘫的顽固性癫痫重新产生了兴趣。由于长期疗效仍不确定，患者的选择仍然困难。99mTc-HmPAO脑单光子发射计算机断层扫描（SPECT）在评估癫痫手术候选者方面一直是一种有用的辅助手段。我们报告了7例接受半球切除术患者的SPECT扫描结果，并将这些结果与头皮脑电图结果进行比较。6例患者有单侧SPECT表现，无论头皮脑电图结果如何，所有患者均获得了良好的疗效。
