Memory function of change in patients with epilepsy after anterior temporal lobectomy and influencing factors

ZHANG Xiao-hai; et al

doi:10.13406/j.cnki.cyxb.2010.01.030

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Memory function of change in patients with epilepsy after anterior temporal lobectomy and influencing factors

更新时间：2024-01-17

- Memory function of change in patients with epilepsy after anterior temporal lobectomy and influencing factors
- Journal of Chongqing Medical University Vol. 35, Issue 1, Pages: 97-99(2010)
- 作者机构：
  
  湖南省怀化市第一人民医院神经外科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.01.030
  CLC： R742.1
- Published：2010，
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[1]张晓海,曾祥富,胡涛,金海泉,廖丹,罗昆,刘柯.前颞叶切除术后癫痫患者记忆功能的改变及影响因素的分析[J].重庆医科大学学报,2010,35(01):97-99.

ZHANG Xiao-hai, et al. Memory function of change in patients with epilepsy after anterior temporal lobectomy and influencing factors. [J]. Journal of Chongqing Medical University 35(1):97-99(2010)
[1]张晓海,曾祥富,胡涛,金海泉,廖丹,罗昆,刘柯.前颞叶切除术后癫痫患者记忆功能的改变及影响因素的分析[J].重庆医科大学学报,2010,35(01):97-99. DOI： 10.13406/j.cnki.cyxb.2010.01.030.

ZHANG Xiao-hai, et al. Memory function of change in patients with epilepsy after anterior temporal lobectomy and influencing factors. [J]. Journal of Chongqing Medical University 35(1):97-99(2010) DOI： 10.13406/j.cnki.cyxb.2010.01.030.

摘要

目的:观察前颞叶切除术对癫痫患者记忆改变的作用

并分析影响因素。方法:48例癫痫患者行前颞叶切除术

术后随访1年。采用临床记忆量表

分别在术前1周、术后2周和术后6月进行3次测评。结果:随访1年内

EngleⅠ级38例（79.1%）

Ⅱ级6例（12.5%）

Ⅲ级3例（6.3%）

Ⅳ级1例（2.1%）。术后2周

患者的记忆功能有明显的减退;至术后6月

记忆功能又有所恢复

和术前1周水平相当。而有海马硬化者、优势半球侧手术者、术后疗效差者记忆功能下降较为明显。结论:前颞叶切除术后2周

癫痫患者记忆水平有所下降

其后又逐渐恢复。海马硬化、优势半球侧手术、术后疗效差是其可能的危险因素。

Abstract

Objective:To observe the memory functional change in patients with epilepsy after anterior temporal lobectomy

andtoanalyze the influencing factors.Methods:48 patients with epilepsy undergoing anterior temporal lobectomy were enroll in this study

and followed up for 1 year.Clinical Memory Scale was used to assess the memory function at 1 week before operation

2nd week and the 6th month after the operation

respectively.Results:In the 1 year follow-up

38 patients were graded as Engle I

6 patients

as Engle Ⅱ

3 patients

as Engle Ⅲ

and 1 patients as Engle Ⅳ.Two weeks after operation

the memory function in patients significantly reduced;six months after operation

the memory function resorted

to the same level as that 1 week before operation.And patients with hippocampal sclerosis

operation at dominant hemisphere side

and the poor prognosis had more noticeable memory function decline.Conclusion:The memory function decline at 2 weeks after anterior temporal lobectomy for patients with epilepsy

then restored gradually.Hippocampal sclerosis

operation at dominant hemisphere side

poor prognosis may be the risk factors.

关键词

前颞叶切除术癫痫记忆功能

Keywords

Anterior temporal lobectomyepilepsymemory function

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Related Institution

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