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癫痫立体定向射频毁损术的远期疗效

Late results of stereotactic radiofrequency lesions in epilepsy.

作者信息

Marossero F, Ravagnati L, Sironi V A, Miserocchi G, Franzini A, Ettorre G, Cabrini G P

出版信息

Acta Neurochir Suppl (Wien). 1980;30:145-9. doi: 10.1007/978-3-7091-8592-6_18.

Abstract

Thirty-five patients with partial complex seizures and two patients with generalized epilepsy were treated by stereotactic radiofrequency lesions. Follow-up from 2 to 13 years was available in 30 patients. The stereotactic targets in patients with partial complex seizures were: a) Amygdala; b) Ammon's horns; c) parahippocampal gyrus; d) Fornix. Depending on scalp EEG and depth electrode studies, each patient had one or more target coagulated, unilaterally or bilaterally. In the 2 cases of generalized epilepsy, bilateral Forel field lesions were performed. Late surgical results are discussed in relation to the depth EEG studies and the number and site of stereotactic lesions.

摘要

35例部分性复杂性癫痫患者和2例全身性癫痫患者接受了立体定向射频毁损治疗。30例患者有2至13年的随访资料。部分性复杂性癫痫患者的立体定向靶点为:a)杏仁核;b)海马角;c)海马旁回;d)穹窿。根据头皮脑电图和深部电极研究结果,每位患者单侧或双侧有一个或多个靶点接受了凝固毁损。2例全身性癫痫患者接受了双侧Forel区毁损。结合深部脑电图研究以及立体定向毁损的数量和部位对手术远期结果进行了讨论。

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