前言目的提高颅内结核性肉芽肿合并癫痫的诊断和手术治疗水平。方法回顾性分析30例颅内结核性肉芽肿的临床表现、诊断和手术方式及疗效。结果28例全切并行致痫灶切除或皮层热灼术。2例全切加减压;术后均予正规的抗结核及抗癫痫药物治疗。除1例死亡外,共余全部治愈出院。结论内结核性肉芽肿合并癫痫的诊断应结合临床表现、影像学特点、实验检查及三维脑电图偶极子源定位检查和抗结核疗效进行综合分析。在严格掌握手术适应症的情况下,手术切除肉芽肿及处理致癫灶,收效满意。
ObjectiveToimprovethelevelindiagnosisandsurgicaltreatmentofintracranialtuberculousgranulomacomplicatedwithepilepsy.MethodsTheclinicalmenifetations,diagnosis,operativemodesandthecurativeeffectsof30caseswithintracranialtuberculosiswereretrospectivelyanalyzed.ResultsSurgicalremovalofthetotaltuberculousgranullomaalongwithallthefocusortheremo-coagulationonthecortexesof28cases,surgicaltotalremovaloftuberculousgranulomaanddecompressionof2caseswereper...
