Delev Daniel, Schramm Johannes, Clusmann Hans
Department of Neurosurgery, University Medical Center, Freiburg, Germany.
Medical Faculty, University of Bonn, University Medical Center, Bonn, Germany.
Acta Neurochir (Wien). 2018 Mar;160(3):597-601. doi: 10.1007/s00701-017-3386-7. Epub 2017 Nov 16.
Selective amygdalohippocampectomy is an effective treatment option for mesial temporal lobe epilepsy associated with hippocampal sclerosis.
To describe and emphasize potential pitfalls during selective amygdalohippocampectomy via a modified navigated temporobasal approach, in cases, where temporal basal veins hinder the required elevation of the temporal lobe.
Selective amygdalohippocampectomy via navigated temporobasal approach is a safe procedure that can reduce the rate of visual field deficits by avoiding damage of optic radiation. The option of a small subpial corticotomy of the inferior temporal gyrus allows sufficient elevation of the temporal lobe in cases with difficult basal venous anatomy.
选择性杏仁核海马切除术是治疗与海马硬化相关的内侧颞叶癫痫的有效方法。
通过改良的导航颞底入路进行选择性杏仁核海马切除术时，描述并强调潜在的陷阱，特别是在颞底静脉阻碍颞叶所需抬高的情况下。
通过导航颞底入路进行选择性杏仁核海马切除术是一种安全的手术方法，可通过避免视辐射损伤来降低视野缺损率。在基底静脉解剖结构复杂的情况下，颞下回小的软膜下皮质切开术可使颞叶充分抬高。
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