儿童脑动静脉畸形位置与癫痫类型和预后的相关性分析

发布时间：2018-02-09 20:06

  本文关键词： 脑动静脉畸形 癫痫 位置 预后　出处：《首都医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:探讨儿童脑动静脉畸形位置与癫痫类型及癫痫预后的关系。资料与方法:收集2013.1-2015.12期间在首都医科大学附属北京天坛医院的儿童脑动静脉畸形患者病灶位置,癫痫类型,随访根据Engle分级评估患者癫痫预后。结果:共分析了125名入组的儿童脑动静脉畸形患者的病例信息,其中男性患者75人,女性患者50人。平均年龄12.57岁。病变位于额叶(n=61,40.9%),颞叶(n=27,18.1%),顶叶(n=24,16.1%),枕叶(n=24,16.1%),底节区(n=2,1.3%),胼胝体(n=5,3.4%),5个位于小脑(n=5,3.4%)。其中首发症状为癫痫的患者共有31人(24.8%),癫痫控制预后较差的有8人(9.4%)。结论:儿童脑动静脉畸形癫痫发生率与成人相似,位于额叶和颞叶的病灶相对于其他脑区,更易发生癫痫。儿童脑动静脉畸形位置与首发癫痫类型以及癫痫预后无明显相关。
[Abstract]:Objective: to investigate the relationship between the location of cerebral arteriovenous malformation (AVM) in children and the type of epilepsy and the prognosis of epilepsy. Data and methods: the location and type of epilepsy in children with cerebral arteriovenous malformation (AVM) in Beijing Temple of Heaven Hospital affiliated to Capital Medical University during the period from March 1 to May 12, 2011 were collected. Results: a total of 125 children with cerebral arteriovenous malformation (AVM) were evaluated according to the Engle grade. Results: a total of 75 male patients were included in the study. 50 female patients with an average age of 12.57 years. The lesions were located in the frontal lobe of 61D, in the temporal lobe, in the frontal lobe, in the temporal lobe, in the temporal lobe, in the temporal lobe, in the temporal lobe, in the temporal lobe, in the parietal lobe, in the parietal lobe, in the parietal lobe, in the parietal lobe, in the occipital lobe, in the occipital lobe, in the occipital lobe, in the nongma 21.3, in the basal ganglia, in the callosal area, and in the corpus callosum. Five patients were located in the cerebellar gyrus 53.40.There were 31 patients with the first symptom of epilepsy, who had a poor prognosis. Conclusion: the incidence of epilepsy in children with cerebral arteriovenous malformation is similar to that in adults. The lesions located in the frontal lobe and temporal lobe were more prone to epilepsy than those in other brain regions. The location of cerebral arteriovenous malformations in children had no significant correlation with the type of initial epilepsy and the prognosis of epilepsy.
【学位授予单位】：首都医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.4;R742.1
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