Yap J C, Ramani S V
J Clin Psychiatry. 1978 Mar;39(3):199-203.
Individuals with intractable epilepsy have a murky existence, fraught with medical helplessness, social rejection and personal despair. Drugs control many, but unfortunately not all, cases of epilepsy. An attempt to elucidate on the indications, selections and rationale for the stereotaxic interruption is made. Three cases of intractable epilepsy treated by stereotaxic Fields of Forel Interruptions are reported with special emphasis on pre and postoperative evaluations. Based on the data so far available, it appears that a significant number of patients with medically intractable epilepsy who are not candidates for "standard" neurosurgical interventions, can be helped further by stereotaxic interruptions with minimal morbidity.
患有顽固性癫痫的患者生活暗淡,充满了医疗上的无助、社会的排斥和个人的绝望。药物能控制许多癫痫病例,但不幸的是并非所有病例。本文试图阐明立体定向阻断术的适应证、选择方法及原理。报告了3例采用立体定向Forel区阻断术治疗的顽固性癫痫病例,并特别强调了术前和术后评估。根据目前可得的数据,似乎相当一部分药物治疗无效且不适合“标准”神经外科手术干预的顽固性癫痫患者,可通过立体定向阻断术得到进一步治疗,且发病率极低。