立体定向脑电图引导下射频热凝术治疗局灶性癫痫研究进展_Journal of Epilepsy

Authors：

 臧轲君 ,  刘学伍 , 韩涛 , 苏磊 , 王胜军 , 曹丽丽 , 迟兆富

山东大学齐鲁医院神经内科(济南, 250012);

Corresponding author：

刘学伍, Email: snlxw1966@163.com

Keywords：

立体定向脑电图; 癫痫; 射频热凝术; 致痫灶

DOI：

10.7507/2096-0247.20160076

Video：

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射频热凝术是一种微创局部热疗技术。早在19世纪60年代, 射频热凝就用于行为性疾病的治疗; 后应用于药物难治性颞叶癫痫, 但效果并不如传统的手术治疗。近几年随着立体定向脑电图的应用, 射频热凝得到改进, 可热凝毁损致痫灶以达到治疗目的。现将归纳立体定向脑电图引导的射频热凝的适应证、方法、研究结果及优点等。

Citation： 臧轲君, 刘学伍, 韩涛, 苏磊, 王胜军, 曹丽丽, 迟兆富. 立体定向脑电图引导下射频热凝术治疗局灶性癫痫研究进展. Journal of Epilepsy, 2016, 2(5): 426-428. doi: 10.7507/2096-0247.20160076 Copy

1.	Flanigin HF, Nashold BS. Stereotactic lesions of the amygdala and hippocampus in epilepsy. Acta Neurochir, 1976, 23(5):235-239.
2.	Parrent AG, Lozano AM. Stereotactic surgery for temporal lobe epilepsy. Canadian Journal of Neurological Sciences Le Journal Canadien Des Sciences Neurologiques, 2000, 27(Suppl 11):S79-84; discussion S92-96.
3.	韩仲谋, 张晓琴.癫痫致痫灶、病理灶的定位研究进展.国际神经病学神经外科学杂志, 2010, 37(5):461-465.
4.	邱文娟, 胡小伟, 张正春.癫痫发病机制及治疗的研究进展.中华临床医师杂志电子版, 2014(10):101-105.
5.	王学峰, 王琳媛, 彭希.癫痫药物治疗及发病机制研究:十年进展及展望.中国现代神经疾病杂志, 2010, 10(1):64-69.
6.	Zaknun JJ, Bal C, Maes A, et al. Comparative analysis of MR imaging, Ictal SPECT and EEG in temporal lobe epilepsy:a prospective IAEA multi-center study. European Journal of Nuclear Medicine, 2008, 35(1):107-115.
7.	Wiebe S, Blume WT, Girvin JP, et al. A randomized, controlled trial of surgery for temporal-lobe epilepsy. New England Journal of Medicine, 2001, 345(5):311-318.
8.	Mai R, Tassi L, Cossu M, et al. A neuropathological, stereo-EEG, and MRI study of subcortical band heterotopia. Neurology, 2003, 60(11):1834-1838.
9.	Cossu M, Cardinale F, Castana L, et al. Stereoelectroencephalo-graphy in the presurgical evaluation of focal epilepsy:a retrospective analysis of 215 procedures. Neurosurgery, 2005, 57(4):706-718.
10.	郭强, 朱丹, 张玮, 等.立体脑电图在药物难治性癫痫患者术前评估中的应用.中华神经外科杂志, 2016, 32(3):231-235.
11.	Foldvary N, Bingaman WE, Wyllie E. Surgical treatment of epilepsy. Neurologic Clinics, 2001, 19(2):491-515.
12.	Quigg M, Harden C. Minimally invasive techniques for epilepsy surgery:stereotactic radiosurgery and other technologies. Journal of Neurosurgery, 2014, 121 (Suppl 1):232-240.
13.	Thom M, Mathern GW, Cross JH, et al. Mesial temporal lobe epilepsy:How do we improve surgical outcome?. Annals of Neurology, 2010, 68(4):424-434.
14.	Catenoix H, Mauguière F, Montavont A, et al. Seizures outcome after Stereoelectroencephalography-guided thermocoagulations in malformations of cortical development poorly accessible to surgical resection. Neurosurgery, 2015, 77(1):9-14.
15.	Fauser S, Zentner J. Critical review of palliative surgical techniques for intractable epilepsy. Advances & Technical Standards in Neurosurgery, 2012, 39(39):165-194.
16.	Catenoix H, Mauguière F, Guénot M, et al. SEEG-guided thermocoagulations:a palliative treatment of nonoperable partial epilepsies. Neurology, 2008, 71(21):1719-1726.
17.	Guenot M, Isnard J, Ryvlin P, et al. Neurophysiological monitoring for epilepsy surgery:the talairach SEEG method. Stereotactic & Functional Neurosurgery, 2001, 77(4):29-32.
18.	Schmidt D, Baumgartner C, Löscher W. Seizure recurrence after planned discontinuation of antiepileptic drugs in seizure-free patients after epilepsy surgery:a review of current clinical experience. Epilepsia, 2004, 45(2):179-186.
19.	Guénot M, Isnard J, Catenoix H, et al. SEEG-guided RF-thermocoagulation of epileptic foci:a therapeutic alternative for drug-resistant non-operable partial epilepsies. Advances & Technical Standards in Neurosurgery, 2011, 36(5):61-78.
20.	Massimo C, Dalila F, Giuseppe C, et al. Stereoelectroencephalo-graphy-guided radiofrequency thermocoagulation in the epileptogenic zone:a retrospective study on 89 cases. Journal of Neurosurgery, 2015, 123(6):1-10.
21.	Bourdillon P, Isnard J, Catenoix H, et al. SEEG-guided radiofrequency thermocoagulation (SEEG RF-TC):from in vitro and in vivo data to technical guidelines. World Neurosurgery, 2016, 71(21):1719-1726.
22.	Blume WT, Parrent AG, Kaibara M. Stereotactic amygdalohippo-campotomy and mesial temporal spikes. Epilepsia, 1997, 38(8):930-936.
23.	Parrent AG. Stereotactic radiofrequency ablation for the treatment of gelastic seizures associated with hypothalamic hamartoma. Journal of Neurosurgery Publishing Group, 2009, 91(5):881-884.
24.	Malikova H, Vojtech Z. Microsurgical and stereotaetie radiofrequency amygdalohippoeampectomy for the treatment of mesial temporal lobe epilepsy:different volume reduction, similar clinical seizure control.Stereotact Funct Neurosurg, 2010, 88(1):42-50.
25.	Wellmer J, Voges J, Parpaley Y. Lesion guided radiofrequency thermocoagulation (L-RFTC) for hypothalamic hamartomas, nodular heterotopias and cortical dysplasias:Review and perspective. Seizure, 2016, 82(6):1120-1125.
26.	Homma J, Kameyama S, Masuda H. Stereotactic radiofrequency thermocoagulation for hypothalamic hamartoma with intractable gelastic seizures. Epilepsy Research, 2007, 76(76):15-21.
27.	Guénot M, Isnard J, Ryvlin P, et al. SEEG-guided RF thermocoagulation of epileptic foci:feasibility, safety, and preliminary results. Epilepsia, 2004, 45(11):1368-1374.

1. Flanigin HF, Nashold BS. Stereotactic lesions of the amygdala and hippocampus in epilepsy. Acta Neurochir, 1976, 23(5):235-239.
2. Parrent AG, Lozano AM. Stereotactic surgery for temporal lobe epilepsy. Canadian Journal of Neurological Sciences Le Journal Canadien Des Sciences Neurologiques, 2000, 27(Suppl 11):S79-84; discussion S92-96.
3. 韩仲谋, 张晓琴.癫痫致痫灶、病理灶的定位研究进展.国际神经病学神经外科学杂志, 2010, 37(5):461-465.
4. 邱文娟, 胡小伟, 张正春.癫痫发病机制及治疗的研究进展.中华临床医师杂志电子版, 2014(10):101-105.
5. 王学峰, 王琳媛, 彭希.癫痫药物治疗及发病机制研究:十年进展及展望.中国现代神经疾病杂志, 2010, 10(1):64-69.
6. Zaknun JJ, Bal C, Maes A, et al. Comparative analysis of MR imaging, Ictal SPECT and EEG in temporal lobe epilepsy:a prospective IAEA multi-center study. European Journal of Nuclear Medicine, 2008, 35(1):107-115.
7. Wiebe S, Blume WT, Girvin JP, et al. A randomized, controlled trial of surgery for temporal-lobe epilepsy. New England Journal of Medicine, 2001, 345(5):311-318.
8. Mai R, Tassi L, Cossu M, et al. A neuropathological, stereo-EEG, and MRI study of subcortical band heterotopia. Neurology, 2003, 60(11):1834-1838.
9. Cossu M, Cardinale F, Castana L, et al. Stereoelectroencephalo-graphy in the presurgical evaluation of focal epilepsy:a retrospective analysis of 215 procedures. Neurosurgery, 2005, 57(4):706-718.
10. 郭强, 朱丹, 张玮, 等.立体脑电图在药物难治性癫痫患者术前评估中的应用.中华神经外科杂志, 2016, 32(3):231-235.
11. Foldvary N, Bingaman WE, Wyllie E. Surgical treatment of epilepsy. Neurologic Clinics, 2001, 19(2):491-515.
12. Quigg M, Harden C. Minimally invasive techniques for epilepsy surgery:stereotactic radiosurgery and other technologies. Journal of Neurosurgery, 2014, 121 (Suppl 1):232-240.
13. Thom M, Mathern GW, Cross JH, et al. Mesial temporal lobe epilepsy:How do we improve surgical outcome?. Annals of Neurology, 2010, 68(4):424-434.
14. Catenoix H, Mauguière F, Montavont A, et al. Seizures outcome after Stereoelectroencephalography-guided thermocoagulations in malformations of cortical development poorly accessible to surgical resection. Neurosurgery, 2015, 77(1):9-14.
15. Fauser S, Zentner J. Critical review of palliative surgical techniques for intractable epilepsy. Advances & Technical Standards in Neurosurgery, 2012, 39(39):165-194.
16. Catenoix H, Mauguière F, Guénot M, et al. SEEG-guided thermocoagulations:a palliative treatment of nonoperable partial epilepsies. Neurology, 2008, 71(21):1719-1726.
17. Guenot M, Isnard J, Ryvlin P, et al. Neurophysiological monitoring for epilepsy surgery:the talairach SEEG method. Stereotactic & Functional Neurosurgery, 2001, 77(4):29-32.
18. Schmidt D, Baumgartner C, Löscher W. Seizure recurrence after planned discontinuation of antiepileptic drugs in seizure-free patients after epilepsy surgery:a review of current clinical experience. Epilepsia, 2004, 45(2):179-186.
19. Guénot M, Isnard J, Catenoix H, et al. SEEG-guided RF-thermocoagulation of epileptic foci:a therapeutic alternative for drug-resistant non-operable partial epilepsies. Advances & Technical Standards in Neurosurgery, 2011, 36(5):61-78.
20. Massimo C, Dalila F, Giuseppe C, et al. Stereoelectroencephalo-graphy-guided radiofrequency thermocoagulation in the epileptogenic zone:a retrospective study on 89 cases. Journal of Neurosurgery, 2015, 123(6):1-10.
21. Bourdillon P, Isnard J, Catenoix H, et al. SEEG-guided radiofrequency thermocoagulation (SEEG RF-TC):from in vitro and in vivo data to technical guidelines. World Neurosurgery, 2016, 71(21):1719-1726.
22. Blume WT, Parrent AG, Kaibara M. Stereotactic amygdalohippo-campotomy and mesial temporal spikes. Epilepsia, 1997, 38(8):930-936.
23. Parrent AG. Stereotactic radiofrequency ablation for the treatment of gelastic seizures associated with hypothalamic hamartoma. Journal of Neurosurgery Publishing Group, 2009, 91(5):881-884.
24. Malikova H, Vojtech Z. Microsurgical and stereotaetie radiofrequency amygdalohippoeampectomy for the treatment of mesial temporal lobe epilepsy:different volume reduction, similar clinical seizure control.Stereotact Funct Neurosurg, 2010, 88(1):42-50.
25. Wellmer J, Voges J, Parpaley Y. Lesion guided radiofrequency thermocoagulation (L-RFTC) for hypothalamic hamartomas, nodular heterotopias and cortical dysplasias:Review and perspective. Seizure, 2016, 82(6):1120-1125.
26. Homma J, Kameyama S, Masuda H. Stereotactic radiofrequency thermocoagulation for hypothalamic hamartoma with intractable gelastic seizures. Epilepsy Research, 2007, 76(76):15-21.
27. Guénot M, Isnard J, Ryvlin P, et al. SEEG-guided RF thermocoagulation of epileptic foci:feasibility, safety, and preliminary results. Epilepsia, 2004, 45(11):1368-1374.

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