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经小脑幕入路切除听神经瘤后癫痫的发生率

Incidence of postoperative epilepsy after a transtentorial approach to acoustic nerve tumours.

作者信息

Cabral R, King T T, Scott D F

出版信息

J Neurol Neurosurg Psychiatry. 1976 Jul;39(7):663-5. doi: 10.1136/jnnp.39.7.663.

Abstract

Sixty-nine patients who had neurosurgical treatment for acoustic neuroma by one of two different techniques were studied with a view to determining the incidence of postoperative epilepsy. Fourty-five patients who had larger tumours underwent a combined translabyrinthine and transtentorial neurosurgical approach. For the others with smaller neuromas a translabyrinthine method was used. Only the combined approach was associated with postoperative epilepsy, and it occurred in 22% of the patients. Epilepsy was associated with temporal love trauma during surgery.

摘要

对69例采用两种不同技术之一接受听神经瘤神经外科治疗的患者进行了研究,以确定术后癫痫的发生率。45例肿瘤较大的患者接受了经迷路和经小脑幕联合神经外科手术入路。其他神经瘤较小的患者则采用经迷路方法。只有联合入路与术后癫痫有关,且在22%的患者中发生。癫痫与手术期间颞叶损伤有关。

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本文引用的文献

1
Consequences of removing an acoustic neuroma by conventional methods.
Proc R Soc Med. 1965 Dec;58(12):1071-3. doi: 10.1177/003591576505801224.
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Combined translabyrinthine-transtentorial approach to acoustic nerve tumours.
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