立体定向脑电图引导下射频热凝治疗发笑癫痫1例并文献复习

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Abstract：ObjectiveTo investigatethe clinical efect of stereoelectroencephalography（SEEG）-guided radiofrequencythermocoagulation inpatientswithgelasticepilepsy．MethodsTheclinical dataofachild with gelastic seizureadmitedtotheDepartment of Neurosurgery，Sanbo Brain Hospital，CapitalMedical Universityin August 2O23 wereanalyzedretrospectivelyand therelevant literature werereviewed.ResultsTheepileptogenic focus was located intheleftanterior temporallobe，and theresultsofrobot-guidedelectrodeimplantationindicated thattheepileptogenic focuswas located intheleftanterior insularannularsulcus.Forfurtheridentification，the anteriorinsularlobewasdestroyedfirst，andthepatientstillhadseizuresafterthedestruction.Aftertheleftanterior temporal lobe electrodesitewas destroyed，theseizure disappeared.ConclusionsTheepileptic foci induced by radiofrequency thermocoagulation under SEEG guidance can be used in the treatment of gelastic epilepsy.

Key Words：epilepsy；gelastic seizure；stereoelectroencephalography；radiofrequency thermocoagulation

发笑性癫痫发作是一种罕见的癫痫发作类型，发作特点为无诱因的刻板发笑，并且不受控制。（剩余6984字）