Alexander Chartrain, Carli Bullis, Nicholas Sader, Peter A Chiarelli, Madeline Kahan, Brittany Jordan, Latanya Agurs, Michele Van Hirtum-Das, Asri Yuliati, Sucheta Joshi, Jason Chu
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引用次数: 0
摘要
癫痫是小儿海绵状畸形的常见症状。对于药物难治性患者，手术可实现较高的癫痫发作率和较低的发病率。这段视频描述了在一名患有药物难治性癫痫的 13 岁女性患者身上使用微型开颅手术和经颅骨切除额叶海绵状畸形的情况。随访 1 年后，她被评为恩格尔 I 级，生活质量明显改善。视频还回顾了海绵畸形切除术治疗癫痫的原理。视频请访问：https://stream.cadmore.media/r10.3171/2024.4.FOCVID2441。
Minipterional craniotomy for resection of epileptogenic cavernous malformation.
Epilepsy is a common symptom of pediatric cavernous malformations. In medically refractory patients, surgery can achieve high seizure freedom rates with low morbidity. This video depicts the use of a minipterional craniotomy and transsulcal resection of a frontal opercular cavernous malformation in a 13-year-old female with medically intractable epilepsy. At 1-year follow-up, she was evaluated as Engel class I with a significant improvement in her quality of life. Principles of cavernous malformation resection for the treatment of epilepsy are also reviewed. The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID2441.
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