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术中确定脑抑制结构及植入式神经刺激器在癫痫治疗中的临床经验。

Clinical experience in intraoperational determination of brain inhibitory structures and application of implanted neurostimulators in epilepsy.

作者信息

Sramka M, Chkhenkeli S A

机构信息

Department of Stereotactic and Functional Neurosurgery, Medical Bionics Research Institute, Bratislava, CSSR.

出版信息

Stereotact Funct Neurosurg. 1990;54-55:56-9. doi: 10.1159/000100190.

Abstract

Therapeutic brain stimulation was applied in 74 patients with resistant forms of epilepsy. It was shown that low frequency stimulation of certain zones of the head of the caudate nucleus and higher frequency stimulation of the dentate nucleus of the cerebellum lead to a marked suppression of interparoxysmal epileptic activity and to a disruption of both focal and generalized epileptic discharges. It is necessary to determine, by means of stereo-electroencephalography, the variability for localizing the inhibitory zones of the structures to implant the neurostimulators exactly.

摘要

对74例耐药性癫痫患者进行了治疗性脑刺激。结果表明,低频刺激尾状核头部的某些区域以及高频刺激小脑齿状核可导致发作间期癫痫活动明显受到抑制,并破坏局灶性和全身性癫痫放电。有必要通过立体脑电图来确定植入神经刺激器时这些结构抑制区定位的变异性,以便精确植入。

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