右侧中央区切除术后左腿运动时左侧运动皮层的激活。
Activation of the left motor cortex during left leg movements after right central resection.
作者信息
Wieser H G, Henke K, Zumsteg D, Taub E, Yonekawa Y, Buck A
机构信息
Department of Neurology, University Hospital Zurich, Switzerland.
出版信息
J Neurol Neurosurg Psychiatry. 1999 Oct;67(4):487-91. doi: 10.1136/jnnp.67.4.487.
A patient with Rasmussen's encephalitis underwent a right central resection at the age of 6 as a treatment for status epilepticus. She became seizure free, but suffered a left hemiplegia which improved so that she could walk. Because of the recurrence of seizures an enlargement of the resection to a hemispherectomy was carried out 17 years after the first operation. Various examinations, including H(2)(15)O PET and amytal testing, performed before this second operation indicated that a compensatory reinforcement of the ipsilateral uncrossed corticospinal and spinocortical pathways had taken place. This was confirmed postoperatively. The patient had no new sensorimotor deficits.
一名患有拉斯穆森脑炎的患者在6岁时接受了右侧中央切除术以治疗癫痫持续状态。她癫痫发作停止，但出现了左侧偏瘫，不过后来有所改善，能够行走。由于癫痫复发，在首次手术17年后将切除术扩大为大脑半球切除术。在第二次手术前进行的各种检查，包括H(2)(15)O PET和阿米妥试验，表明同侧未交叉的皮质脊髓和脊髓皮质通路发生了代偿性强化。术后得到了证实。患者没有出现新的感觉运动功能障碍。
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