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Clinical characteristics and operative effect of hippocampus lesions / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences) ; (12): 1282-1287, 2010.
Article Dans Chinois | WPRIM | ID: wpr-814331
ABSTRACT
OBJECTIVE@#To study the clinical characteristics and operative effect of hippocampus lesions.@*METHODS@#We retrospectively analyzed the clinical characteristics and operative outcome of 44 patients with hippocampus lesions between August 2005 and April 2010.@*RESULTS@#Seizure attack was the initial symptom among 40 of the 44 patients. Pathological examinations revealed 18 gliomas, 9 cavernous malformations, 12 hippocampus sclerosis, 2 focal cortical dysplasia, 1 atypical hyperplasia, 1 injury glial scar, and 1 encephalomalacia. Thirteen patients received anterior medial temporal lobectomy and the other 31 received lesionectomy or selective amygdalohippocampectomy via transsylvian approach. An average of 15.7 month follow-up was accomplished in 37 patients. Postoperative epileptic outcomes were evaluated according to Engel classification Grade I 73.0%(27/37), Grade II 13.5%(5/37), Grade III 10.8%(4/37) and Grade IV 2.7%(1/37). No perioperative death occurred. One patient experienced hemiplegia but recovered 8 months after the operation. Noticeable postoperative visual field deficit was left in 2 patients. Two patients with glioma died of remote tumor recurrence during follow-up.@*CONCLUSION@#Seizure attack is a major complaint of hippocampus lesions. Satisfactory seizure and tumor control may be achieved through anterior medial temporal lobectomy or selective amygdalohippocampectomy with lesionectomy.
Sujets)
Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Anatomopathologie / Sclérose / Chirurgie générale / Lobe temporal / Tumeurs du cerveau / Études rétrospectives / Résultat thérapeutique / Épilepsie / Gliome / Hippocampe Type d'étude: Étude observationnelle Limites du sujet: Adolescent / Adulte / Enfant / Enfant d'âge préscolaire / Femelle / Humains / Mâle langue: Chinois Texte intégral: Journal of Central South University(Medical Sciences) Année: 2010 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Anatomopathologie / Sclérose / Chirurgie générale / Lobe temporal / Tumeurs du cerveau / Études rétrospectives / Résultat thérapeutique / Épilepsie / Gliome / Hippocampe Type d'étude: Étude observationnelle Limites du sujet: Adolescent / Adulte / Enfant / Enfant d'âge préscolaire / Femelle / Humains / Mâle langue: Chinois Texte intégral: Journal of Central South University(Medical Sciences) Année: 2010 Type: Article