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大脑半球切除术——一种改良术式。

Hemispherectomy--a modification.

作者信息

Adams C B

出版信息

J Neurol Neurosurg Psychiatry. 1983 Jul;46(7):617-9. doi: 10.1136/jnnp.46.7.617.

DOI:10.1136/jnnp.46.7.617
PMID:6886697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1027479/
Abstract

Hemispherectomy is probably the best operation for treating epilepsy. It was abandoned because of the delayed haemorrhagic complications that developed some years after the operation. A hypothesis is described to account for the mechanism of such complications and modifications made to the operative technique to prevent such complications. This modified hemispherectomy has been carried out on four patients since 1980.

摘要

大脑半球切除术可能是治疗癫痫的最佳手术方式。它曾因术后数年出现的迟发性出血并发症而被弃用。本文描述了一种关于此类并发症发生机制的假说，并对手术技术进行了改进以预防这些并发症。自1980年以来，已对4例患者实施了这种改良的大脑半球切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08e2/1027479/b37a925e4e40/jnnpsyc00135-0035-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08e2/1027479/b859145b27bf/jnnpsyc00135-0034-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08e2/1027479/b37a925e4e40/jnnpsyc00135-0035-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08e2/1027479/b859145b27bf/jnnpsyc00135-0034-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08e2/1027479/b37a925e4e40/jnnpsyc00135-0035-a.jpg

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Hemispherectomy--a modification.大脑半球切除术——一种改良术式。
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Modified hemispherectomy for infantile hemiparesis and epilepsy.改良半球切除术治疗婴儿偏瘫和癫痫。
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本文引用的文献

1
Persistent intracranial bleeding as a complication of hemispherectomy.持续性颅内出血作为大脑半球切除术的一种并发症。
J Neurol Neurosurg Psychiatry. 1966 Jun;29(3):229-40. doi: 10.1136/jnnp.29.3.229.
2
Superficial siderosis of the central nervous system. A report on nine cases with autopsy.中枢神经系统浅表性铁沉积症。9例尸检报告。
Acta Neuropathol. 1969;13(1):56-74. doi: 10.1007/BF00686141.
3
Cerebral hemispherectomy for infantile hemiplegia. A report of 50 cases.小儿偏瘫的大脑半球切除术。50例报告。
Anatomical hemispherectomy revisited-outcome, blood loss, hydrocephalus, and absence of chronic hemosiderosis.
解剖性大脑半球切除术再探讨——疗效、失血、脑积水及无慢性含铁血黄素沉着症
Childs Nerv Syst. 2019 Aug;35(8):1341-1349. doi: 10.1007/s00381-019-04256-3. Epub 2019 Jun 26.
4
Hemispherectomy in the treatment of seizures: a review.大脑半球切除术治疗癫痫：综述。
Transl Pediatr. 2014 Jul;3(3):208-17. doi: 10.3978/j.issn.2224-4336.2014.04.01.
5
Intact intracranial breast prosthesis: a 28-year CT follow-up after treatment of late hemispherectomy complications.完整的颅内乳房假体：半球切除术后晚期并发症治疗后的28年CT随访
Childs Nerv Syst. 2015 Feb;31(2):311-5. doi: 10.1007/s00381-014-2602-5. Epub 2014 Dec 7.
6
Ipsilateral and contralateral auditory brainstem response reorganization in hemispherectomized patients.大脑半球切除患者同侧和对侧听觉脑干反应的重组
Neural Plast. 2013;2013:832473. doi: 10.1155/2013/832473. Epub 2013 Dec 23.
7
Supercalifragilistic hemosiderosis: a rare and unusual complication that really sounds atrocious..超级易碎性含铁血黄素沉着症：一种罕见且不寻常的并发症，听起来真的很可怕。
Epilepsy Curr. 2006 Sep-Oct;6(5):153-4. doi: 10.1111/j.1535-7511.2006.00128.x.
8
Cognitive assessment in epilepsy surgery of children.儿童癫痫手术中的认知评估。
Childs Nerv Syst. 2006 Aug;22(8):744-59. doi: 10.1007/s00381-006-0151-2. Epub 2006 Jul 12.
9
Peri-insular hemispherotomy in paediatric epilepsy.小儿癫痫的岛周大脑半球切除术
Childs Nerv Syst. 2006 Aug;22(8):967-81. doi: 10.1007/s00381-006-0134-3. Epub 2006 Jun 29.
10
Anatomical hemispherectomy for intractable seizures: excellent seizure control, low morbidity and no superficial cerebral haemosiderosis.解剖性大脑半球切除术治疗难治性癫痫：癫痫控制良好、发病率低且无浅表性脑铁沉积症。
Childs Nerv Syst. 2006 May;22(5):489-98; discussion 499. doi: 10.1007/s00381-005-0023-1. Epub 2006 Feb 10.
Brain. 1970;93(1):147-80. doi: 10.1093/brain/93.1.147.
4
Complications related to delayed hemorrhage after hemispherectomy.与大脑半球切除术后延迟性出血相关的并发症。
J Neurosurg. 1969 Apr;30(4):413-26. doi: 10.3171/jns.1969.30.4.0413.
5
Meningioma after contralateral hemispherectomy for malignant glioma: case report.恶性胶质瘤对侧大脑半球切除术后发生脑膜瘤：病例报告
J Neurol Neurosurg Psychiatry. 1975 May;38(5):493-9. doi: 10.1136/jnnp.38.5.493.