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find Author "赵明睿" 2 results
  • 新型冠状病毒肺炎对癫痫影响的研究进展

    自新型冠状病毒肺炎(Corona virus disease 2019,COVID-19)爆发以来,对癫痫患者的健康产生了一定影响,癫痫与COVID-19两者合并存在并不少见。癫痫与COVID-19可相互作用,加重各自病症,导致患者学习、工作和生活质量的明显下降。及时认识COVID-19 对癫痫的影响,早期采取针对两种疾病的有效治疗,将极大地有利于患者康复。

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  • Analysis of the curative effect and predictive factors of frontal lobe epilepsy after surgery

    ObjectiveTo explore the long-term seizure outcome and prognostic factors of patients with frontal lobe epilepsy after surgery, so as to guide the evaluation of treatment and provide clinical reference.Methods This study retrospectively analyzed the clinical data of patients with frontal lobe epilepsy undergoing surgical treatment by multimodal epilepsy surgical evaluation system in the functional neurosurgery of the Second Hospital of Lanzhou University from January 2016 to February 2020, there were 17 males and 13 females, the age of onset of epileptic seizures was (16.30±10.65) years, the age at the time of surgical treatment was (23.98±11.04) years, and the duration of seizures was (7.68±6.37) years. The multimodal epilepsy surgical evaluation system includes phase I non-invasive evaluation and phase II invasive evaluation. The collected research variables were analyzed by descriptive statistics and multivariate logistic regression analysis to evaluate the importance of each research variable to the prognosis of epilepsy surgery, and to determine the potential prognostic factors, so as to explore the epilepsy control situation of patients with frontal lobe epilepsy after surgery and the influence of each variable that may affect the prognosis of epilepsy on the prognosis.ResultsThe analysis of the clinical data of 30 patients with frontal lobe epilepsy showed that the good prognosis rate after FLE surgery (Engel I) was 70%, and the average follow-up was (29.9±14.1) months. The results of multivariate logistic regression analysis showed that the duration of epilepsy, the frequency of seizures, the presence or absence of stereotactic EEG (SEEG) monitoring, whether the lesion was completely removed, and whether acute postoperative seizures occurred were independent predictors of prognosis (P<0.05).ConclusionThis study found that the long duration of epilepsy, frequent seizures, and postoperative acute seizures are significantly related to poor prognosis. The application of SEEG and complete resection of epileptic lesions can significantly improve the prognosis of FLE surgery.

    Release date:2021-06-24 01:24 Export PDF Favorites Scan
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