RESECTING COMBINNING WITH BIPOLAR COAGULATION FOR THE TREATMENT OF TEMPORAL LOBE EPILEPLEPSY
Abstract number :
3.297
Submission category :
Year :
2002
Submission ID :
3414
Source :
www.aesnet.org
Presentation date :
12/7/2002 12:00:00 AM
Published date :
Dec 1, 2002, 06:00 AM
Authors :
Yunlin Li, Guoming Luan, Zhenrong Sun, Qin Bai, Li Yan. Neurosurgery, Tiantan Hospital, Beijing, China; Neurosurgery & Neurobiology, Tiantan Hospital & Beijing Neurosurgical Institute, Beijing, China
RATIONALE: Resecting the epileptic foci combinning with thermol-coagulation, a new methods had been used to treat the temporal lobe epilepsy, especially for those epileptogenic foci related with the functional cortexes, because the resecting will cause serious dysfunction of the cortexes. In addtion, we are trying to evaluate the possibility and effectiveness of the new method and to summarize the experiences.
METHODS: 86 cases with temporal lobe epilepsy had been treated with the new method , after resecting the epileptic foci on the non-functional areas, the extro-temporal functional areas with epileptic waves discharging were carried-out with thermol-coagulation. The out-put power of the electro-coagulation was 4 to 8 U, and the duration 1-2 s at interval 5 mm apart. The EcoG technique was used pre- and post-operation to mornitor the activity of epileptic waves. 59 cases had been followed -up for 1-6 years, and the effectiveness were evaluated with Engel[ssquote]s creterior.
RESULTS: The total dfficiency is about 93.22%, the seizure free is about 71.3%( 42/59 ), the seizure attack is less than 25% and having no effects are 7.6%. and no significant side-effects occurred among of them.
CONCLUSIONS: The method is a new pathway to cure the temporal lobe epilepsy, and it is safe, and useful, and worthful to spread clinically.
[Supported by: Beijing Neurosurgical Institute]