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目的探讨胚胎发育不良性神经上皮肿瘤(DNT)术中应用皮层脑电监测(ECoG)对术后癫痫控制率的影响。方法回顾5年来本院收治的10例DNT患者,全部患者以癫痫为主要表现并全部接受手术治疗,6例患者术中应用皮层脑电监测,全部患者术后长期随访。结果应用术中皮层脑电监测的6例患者,随访期内未出现癫痫复发的表现,4例未应用术中皮层脑电监测的患者,有3例术后出现不同程度的癫痫复发。结论术中应用皮层脑电监测对于控制DNT患者术后癫痫复发有积极作用。
Objective To investigate the effect of cortical electroencephalography (ECoG) on postoperative epilepsy control rate in patients with embryonic dysplastic neuroepithelial neoplasm (DNT). Methods Ten patients with DNT admitted to our hospital during the past five years were retrospectively reviewed. All the patients were treated with epilepsy and all were treated surgically. Six patients underwent intraoperative cortical EEG monitoring and all patients were followed up for a long time. Results There were no recurrences of epilepsy during the follow-up period in 6 patients monitored by intraoperative cortical EEG. In 4 patients who did not receive intraoperative cortical EEG monitoring, 3 patients had different degrees of epilepsy recurrence. Conclusion Intraoperative cortical EEG monitoring has a positive effect on controlling the recurrence of postoperative epilepsy in patients with DNT.