JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2016, Vol. 54 ›› Issue (4): 55-59.doi: 10.6040/j.issn.1671-7554.0.2015.433

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Ultrasound guidance and electrophysiological monitoring in microsurgical treatment of 6 cases of cavernous hemangioma in children with secondary epilepsy

SUN Yongfeng1, LIU Huizhao2, ZHONG Jianwei1, WANG Tao1, YUAN Jun1, ZHAI Weidong1   

  1. 1. Department of Neurosurgery;
    2. Department of Special Inspection, Beijing Crops Hospital of Chinese Peoples Armed Police Forces, Beijing 100027, China
  • Received:2015-04-29 Online:2016-04-10 Published:2016-04-10

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Abstract: Objective To investigate the clinical significance of intraoperative ultrasound localization and electrophysiological monitoring in microsurgical treatment of cavernous hemangioma followed by epilepsy. Methods Clinical data of 6 cases of cavernous hemangioma in children with secondary epilepsy treated by microsurgical operation were retrospectively analyzed. Under the guidance of ultrasound and intraoperative electrocorticogram(ECoG)monitoring, cavernous hemangioma and epileptogenic foci were completely resected under microscope. Results During the follow-up of more than 2 years, no seizure or nerve dysfunction occurred. Conclusion Intraoperative ultrasound guidance and ECoG monitoring can accurately locate the cavernous hemangioma lesions and guide the resection of epileptic foci. It helps to guide the operation approach, reduce brain tissue injury, and improve the rate of total resection of cavernous hemangioma and cure rate of epilepsy, which therefore is worthy of clinical promotion.

Key words: Epilepsy, Intraoperative ultrasound, Cavernous hemangioma, Electrocorticogram monitoring

CLC Number: 

  • R742.1
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