Surgical Treatment of Late Posttraumatic Epilepsy

Abstract

Abstract: Clinical documents of forty-five late posttraumatic epilepsy cases were summarized.Surgical treatment was adopted in all of the cases.Detailed preoperative evaluation was done before the operation.ECoG monitoring was used during the operation.The surgical approaches included resection of the epileptogenic foci, anterior temporal lobectomy, anterior temporal lobectomy and hippocampectomy, bipolar coagulation of the cortex, corpus callosotomy.The follow-up results showed seizures of these patients improved evidently.According to Engel's grading, 23 cases were grade Ⅰ, 15 cases were grade Ⅱ, 7 cases were grade Ⅲ and no cases were grade Ⅳ.Surgical treatment is highly recommended in late posttraumatic epilepsy patients if systematic medical treatment fails.

Key words: posttraumatic, surgery, epilepsy

CLC Number:

R742.1

Zhang Kai;Zhang Jianguo;Sun Zhenrong. Surgical Treatment of Late Posttraumatic Epilepsy[J]. Journal of Capital Medical University, 2004, 25(3): 380-382.

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Surgical Treatment of Late Posttraumatic Epilepsy

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