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关于癫痫立体定向治疗的批判性评论。

Critical remarks on the stereotaxic treatment of epilepsy.

作者信息

Nadvornik P, Sramka M, Gajdosova D

出版信息

J Neurosurg Sci. 1974 Apr-Jun;18(2):133-5.

PMID:4619121
Abstract

The analysis of experiences with 43 patients treated stereotaxically for epilepsy, shows that the stereotaxic method can play an important role 1) in the investigation of the structures in epileptic activity; 2) in proper management of these cases. According to deep electrode records, the epileptic focus seems to be like a system of anatomical structures, which are functionally interdependent, and its relationship can be plotted on a schematic graph, which must be calculated in the strategy of treatment with the combined performances. In spite of this results are not satisfactory. New methodological approaches should be devised, such as longitudinal stereotaxic hippocampectomia, which is suggested as promising.

摘要

对43例接受立体定向治疗癫痫患者的经验分析表明,立体定向方法可在以下方面发挥重要作用:1)在癫痫活动结构的研究中;2)在这些病例的适当管理中。根据深部电极记录,癫痫病灶似乎像一个解剖结构系统,它们在功能上相互依存,其关系可绘制在示意图上,在联合治疗策略中必须进行计算。尽管如此,结果并不令人满意。应设计新的方法,如纵向立体定向海马切除术,有人认为这很有前景。

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