Spirin A L, Anichkov A D, Mozhaev S V, Kholiavin A I, Meliucheva L A, Dydas M S, Plotnikova I V
Zh Nevrol Psikhiatr Im S S Korsakova. 2001;101(6):15-9.
A complex research of epileptogenic focus (electroencephalography, invasive electroencephalography, MRI, PET) has allowed to localize a primary epileptogenic zone in medial temporal epilepsy in amygdale in 52% of the patients, in the anterior hippocampus--in 30% cases, a simultaneous and equivalent involvement of both amygdale and anterior hippocampus was diagnosed in 18% of the patients examined. Stereotaxic selective amygdalehippocampotomy was found to be effective in patients with resistant medial and lateral temporal epilepsy. The attacks stopped in 36% of the cases. In other patients frequency and duration of epileptic paroxysms considerably reduced, the structure of the paroxysms changed.
对致痫灶进行的综合研究(脑电图、侵入性脑电图、磁共振成像、正电子发射断层扫描)已使52%的内侧颞叶癫痫患者的原发性致痫区定位于杏仁核,30%的病例定位于前海马体,在18%接受检查的患者中诊断出杏仁核和前海马体同时且同等程度受累。立体定向选择性杏仁核海马切除术被发现对耐药性内侧和外侧颞叶癫痫患者有效。36%的病例发作停止。在其他患者中,癫痫发作的频率和持续时间显著降低,发作结构发生改变。