EPILEPSY AFTER OPERATIVE TREATMENT OF RUPTURED CEREBRAL ANEURYSMS

被引：53
|
作者：
UKKOLA, V
HEIKKINEN, ER
机构：
[1] Department of Neurosurgery, Oulu University Central Hospital, Oulu
来源：
ACTA NEUROCHIRURGICA | 1990年 / 106卷 / 3-4期
关键词：
Aneurysm surgery; secondary epilepsy; temporary clipping; vasospasm; wrapping;
D O I：
10.1007/BF01809452
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A retrospective analysis of 183 consecutive patients operated on for ruptured cerebral aneurysms and surviving at least one year revealed appearance of postoperative epilepsy in 14 cases (8 per cent) on an average of 10 months (range 0-23 months) after the operation. Factors associated with the development of secondary epilepsy were localization of the aneurysm on the middle cerebral artery, temporary clipping intraoperatively, wrapping technique to treat the aneurysm, and vasospasm seen on the postoperative control angiogram. Intraoperative and/or postoperative ischaemia seems to be the crucial phenomenon favouring the development of epilepsy. Identification of the risk factors may help to focus the anti-epileptic prophylaxis in cases prone to develop seizures. © 1990 Springer-Verlag.
引用
收藏
页码：115 / 118
页数：4
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