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纸质出版:2015
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梁传栋,武江,岳向勇,赵磊,李文玲,郑杰,郭韬,何利兵,李颖,赵建凯,吕冬芳.颞叶局灶性皮层发育不良不同病理亚型临床特征分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(14):1430-1434.
Liang Chuandong,Wu Jiang,Yue Xiangyong,Zhao Lei,Li Wenling,Zheng Jie,Guo Tao,He Libing,Li Ying,Zhao Jiankai,Lyu Dongfang.Clinical characteristics of different subtypes of focal cortical dysplasia at temporal lobe[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(14):1430-1434.
梁传栋,武江,岳向勇,赵磊,李文玲,郑杰,郭韬,何利兵,李颖,赵建凯,吕冬芳.颞叶局灶性皮层发育不良不同病理亚型临床特征分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(14):1430-1434. DOI:
Liang Chuandong,Wu Jiang,Yue Xiangyong,Zhao Lei,Li Wenling,Zheng Jie,Guo Tao,He Libing,Li Ying,Zhao Jiankai,Lyu Dongfang.Clinical characteristics of different subtypes of focal cortical dysplasia at temporal lobe[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(14):1430-1434. DOI:
目的 比较2011年国际抗癫痫联盟(ILAE)分类下颞叶局灶性脑皮层发育不良(focal cortical dysplasia
FCD)不同病理亚型的临床特征。 方法 回顾性分析2005-2011年在河北省人民医院功能神经外科进行颞叶癫痫手术患者241例。根据2011年ILAE分类对经过颞叶癫痫手术患者FCD按不同病理亚型进行分类,并对不同病理亚型患者癫痫发作起始年龄、患病年限、手术年龄、发作频率等临床特征进行分析,观察不同病理亚型患者的临床特征是否存在差异。 结果 92例患者符合FCD诊断,结合型FCD平均发作起始年龄为19.2岁,晚于单纯型FCD(P=0.038)。在结合型FCD患者中,FCD Ⅲc型平均发作起始年龄为30.7岁,晚于结合型FCD中的其他亚型(P=0.007)。结合型FCD平均癫痫患病年限为7.8年,短于单纯型FCD(P=0.003)。在结合型FCD的病理亚型中,FCD Ⅲb型平均癫痫患病年限为3.5年(P=0.016),FCD Ⅲc型平均癫痫患病年限为5.3年(P=0.041),短于结合型FCD的其他病理亚型。FCD Ⅲc型平均手术年龄为35.8岁,晚于结合型FCD的其他病理亚型(P=0.014)。 结论 结合型FCD癫痫发作起始年龄晚,尤其是FCD Ⅲc型。结合型FCD手术前癫痫患病年限短,尤其是FCD Ⅲb型和FCD Ⅲc型。在结合型FCD患者中,FCD Ⅲc型平均手术年龄明显晚于结合型FCD的其他病理亚型。
Objective To compare the clinical characteristics of different subtypes of focal cortical dysplasia (FCD) at human temporal lobe according to 2011 International League Against Epilespy (ILAE) classification. Methods Totally
241 cases of temporal lobe epilepsy were divided into different pathological subtypes of FCD according to 2011 ILAE classification. The clinical characteristics including epileptic seizure starting age
epilepsy duration
surgery age
seizure frequency
etc. were analyzed. Results Among 92 patients with FCD
the epileptic seizure average age of the associated FCD was 19.2 years old
significantly older than that of the isolated FCD
with statistically significant difference (P=0.038). In the patients with associated FCD
the epileptic seizure average age of FCD Ⅲc was 30.7 years old
significantly older than that of other subtypes of associated FCD(P=0.007). The average epilepsy duration of the associated FCD was 7.8 years
significantly shorter than that of the isolated FCD(P=0.003). In different pathological subtypes of the associated FCD
the epilepsy duration of FCD Ⅲb was 3.5 years(P=0.016)
and that of FCD IIIc was 5.3 years(P=0.041). Average surgery age of FCD Ⅲc was 35.8 years old
significantly later than that of other subtypes of associated FCD(P=0.014). Conclusion The epileptic seizure average age of the associated FCD is late
especially FCD IIIc. The average epilepsy duration of the associated FCD is short
especially FCD IIIb and FCD IIIc. In the patients with associated FCD
the average surgery age of FCD IIIc is significantly later than that of other subtypes of associated FCD. The isolated FCD and associated FCD show different clinical characteristics.
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