报道对药物难以控制的局限性癫痫在皮质脑电图监测下的手术治疗。对颞叶癫痫和其他不明原因的癫痫,凡术前脑电图能准确地找到癫痫发放灶者,均可于开颅后在皮质电图监测下,进一步确定癫痫发放灶的部位和范围,在保存神经机能及不影响智商的前提下,尽可能切除癫痫灶,控制癫痫发作。全组13例中除1例双侧癫痫灶只切除一侧外,手术有效率达80％,术后性情、智力、记忆力均有明显好转,无一例手术死亡及明显并发症发生。对术前癫痫发放灶的定位及手术要点等,作者进行了比较详细的讨论。 Surgical treatment of localized epilepsy that is refractory to drugs is monitored under cortical electroencephalography. Temporal lobe epilepsy and other unexplained epilepsy, preoperative EEG can accurately find the epileptic stove, can be craniotomy in the cortical monitoring to further determine the location and scope of epileptic fat, in the Preservation of neurological function and does not affect the IQ of the premise, as much as possible removal of epileptic foci, control of seizures. In the whole group of 13 cases, except for one case of bilateral epileptic foci, only one side was excised, and the operative efficiency was 80%. Postoperative condition, intelligence and memory were significantly improved. No operative death or obvious complication occurred. Preoperative positioning of epileptic stove and surgery points, the author conducted a more detailed discussion.