关键词: 术中CT, 外科手术治疗, 放射性脑病

Abstract: 【Abstract】〓Objective〓To explore the value of surgical treatment in delayed temporal lobe radiation encephalopathy..Methods〓The clinical data of 14 patients with temporal lobe radiation encephalopathy who admitted to our hospital from August 2010 to December 2014 were retrospectively analyzed and all of them were treated by surgery..The clinical manifestations,.imaging tests,.intro-operative findings, application of intro-operative CT (iCT), pathological examination, postoperative nursing and surgical outcomes were summarized and analyzed..Results〓Postoperative patients recovered well. The symptoms in 9 patients who complained headache and dizziness,.were completely recovered, and 4 patients were partly alleviated and only a patient had little improvement. Magnetic resonance imaging indicated that the focal necrotic tissue was mostly resected. The pathological examination showed that no tumor tissues was discovered and the removed tissues presented significant degeneration,necrosis and edema. During the operation, 8 patients adopted iCT monitoring, as a result, necrotic tissues of the patients were resected precisely. Of the remaining 6 patients without iCT monitoring during surgery, one occurred contralateral subdural hematoma and consequently suffered an additional operation aiming to clear the hematoma. Conclusion〓For the patients with delayed temporal lobe radiation encephalopathy, adoption of opportunely positive surgical treatment coupled with iCT monitoring,.enhancement of perioperative care could alleviate the symptoms of those patients..Early diagnose and improve the life quality of patients.

Key words: Surgical treatment, Radiation encephalopathy, iCT