胶质瘤合并癫痫的诊疗体会

Experience of diagnosis and treatment of epilepsy induced by glioma

  • 摘要: 目的 总结胶质瘤合并癫痫的诊疗经验。 方法 对我院2011年8月- 2012年7月入院、初次手术并证实为胶质瘤的病人的性别、年龄、临床症状、影像学表现及病理类别等资料进行回顾分析。 结果 共收治胶质瘤合并癫痫63例,其中男性39例,女性24例。同期胶质瘤病人中癫痫发病率达到30.4%,男女发病率差异无统计学意义(P> 0.05),年龄15 ~65(40.11±11.33)岁。发作形式以全身强直-痉挛发作最多见(35例,55.6%),好发于额叶(45例,71.4%)、多累及脑皮质(59例,93.7%),病理以低级别胶质瘤为主(37例,58.7%)。手术辅以放化疗可以有效控制癫痫发作。 结论 胶质瘤合并癫痫宜行手术治疗并辅以放化疗。

     

    Abstract: Objective To summarize the experiences of early diagnosis and treatment of epilepsy induced by glioma. Methods Clinical data (including gender, age, clinical symotom, imaging findings and pathological categories) of patients who enrolled in our department from August 2011 to July 2012 and underwent resection of glioma were retrospectively analyzed. Results Of the 207 glioma patients in this series, 63 (30.4%, male 39, female 24, with the age of 15-65 (mean, 40.11±11.33) years) presented with seizures. There was no sex predominance (P> 0.05). Generalized tonoclonic seizure was the main form of attack (35, 55.6%). Factors more commonly associated with preoperative seizures were frontal lobe (45, 71.4%), involvement and cortical location (59, 93.7%), and low grade glioma pathology (37, 58.7%). Surgery followed by radiation and chemotherapy could control epilepsy effectively. Conclusion Patients with epilepsies induced by glioma are advised to be treated with surgery combined with radiotherapy and chemotherapy.

     

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