Mathon Bertrand, Clemenceau Stéphane
Department of Neurosurgery, Groupe Hospitalier Universitaire de La Pitié-Salpêtrière, 47-83, Boulevard de l'Hôpital, 75013, Paris, France.
Sorbonne University, UPMC, Univ Paris 06, Paris, France.
Acta Neurochir (Wien). 2016 Apr;158(4):785-789. doi: 10.1007/s00701-016-2717-4. Epub 2016 Feb 6.
Hippocampal sclerosis is the most common cause of drug-resistant epilepsy amenable for surgical treatment and seizure control. The rationale of the selective amygdalohippocampectomy is to spare cerebral tissue not included in the seizure generator.
Describe the selective amygdalohippocampectomy through the trans-superior temporal gyrus keyhole approach.
Selective amygdalohippocampectomy for temporal lobe epilepsy is performed when the data (semiology, neuroimaging, electroencephalography) point to the mesial temporal structures. The trans-superior temporal gyrus keyhole approach is a minimally invasive and safe technique that allows disconnection of the temporal stem and resection of temporomesial structures.
海马硬化是药物难治性癫痫适合手术治疗和控制发作的最常见原因。选择性杏仁核海马切除术的基本原理是保留癫痫发作起源区以外的脑组织。
描述经颞上回锁孔入路的选择性杏仁核海马切除术。
当数据（症状学、神经影像学、脑电图）提示颞叶内侧结构时，对颞叶癫痫行选择性杏仁核海马切除术。经颞上回锁孔入路是一种微创且安全的技术，可实现颞叶茎的离断和颞叶内侧结构的切除。
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