Garcia-Flores E
Osler Clinic, Monterrey, Mexico.
Appl Neurophysiol. 1987;50(1-6):390-7. doi: 10.1159/000100746.
Microsurgical techniques of callosotomy were effective in relieving medically intractable epilepsy in 14 of 16 patients. Intra-arterial digital angiography has been used preoperatively to assess drainage of the veins of the frontal lobe. MRI is useful in verifying the postoperative extent of corpus callosum section. Patients with bilateral frontal lesions and unilateral destructive lesions responded to callosotomy. None of the patients had an increase in seizures after the procedure.
胼胝体切开术的显微外科技术对16例患者中的14例药物治疗难治性癫痫有效。术前已采用动脉内数字血管造影术评估额叶静脉引流情况。MRI有助于核实术后胼胝体切开的范围。双侧额叶病变和单侧破坏性病变的患者对胼胝体切开术有反应。术后无一例患者癫痫发作增加。