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目的:探讨儿童以癫痫为首发症状的微小型脑肉芽肿的显微手术治疗方法。方法:根据颅脑 CT 扫描所见,采用显微操作技术完整切除病灶。结果:9例均在显微镜下操作将病灶完整切除,7例随访8个月～9年,并经 CT 复查证实无复发,癫痫消失。结论:对儿童癫痫,尤其是来自疫区农村,均应行颅脑 CT 扫描检查,必要时强化。对此类小占位病灶采用显微手术下切除病灶具有创伤小,保护脑重要功能区及减轻脑水肿等优点。
Objective: To investigate the microsurgical treatment of micro-brain granuloma in children with epilepsy as the first symptom. Methods: According to brain CT scan, the use of microsurgical techniques complete resection of the lesion. Results: Nine cases underwent complete resection of the lesion under the microscope. Seven cases were followed up for 8 months to 9 years. No recurrence was found after CT examination and disappearance of epilepsy. Conclusion: Epilepsy in children, especially from the rural areas of the epidemic area, should be performed CT scan of brain, if necessary, strengthen. Microsurgical resection of such small space-based lesions with trauma lesions, protect the important functional areas of the brain and reduce brain edema and so on.