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[多灶性癫痫的外科治疗方法及结果]

[The surgical treatment procedure and results in multifocal epilepsy].

作者信息

Zemskaia A G, Riabukha N P, Garmashov Iu A

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1990 Jan-Feb(1):15-7.

PMID:2164295
Abstract

Various methods of surgical intervention were applied differentially in 116 patients with multifocal epilepsy. From analysis of the late-term results it was found that the cortical form of multifocal epilepsy is treated most effectively by open and the cortico-subcortical form--by combined operations (use of stereotaxis during an open operation). The most rational operations in bitemporal epilepsy are bilateral one-stage stereotaxic interventions on the mediobasal temporal structures or successive (at various intervals) performance of stereotaxic operation on one temporal lobe and open operation on the contralateral temporal lobe. The effect was positive in 78.3% of cases.

摘要

对116例多灶性癫痫患者分别采用了多种手术干预方法。通过对远期结果的分析发现,开放性手术治疗皮质型多灶性癫痫效果最佳,而皮质 - 皮质下型则采用联合手术(开放性手术中使用立体定向技术)治疗效果最佳。双侧颞叶癫痫最合理的手术是对颞叶内侧基底结构进行双侧一期立体定向干预,或(在不同间隔时间)先后对一侧颞叶进行立体定向手术,对侧颞叶进行开放性手术。78.3%的病例效果良好。

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