Chkhenkeli S A
Zh Vopr Neirokhir Im N N Burdenko. 1981 May-Jun(3):47-55.
From the analysis of 100 cases with stereotaxic and "classical" surgical treatment of epilepsy several premises are drawn. The source of possible errors in the topical diagnosis of an epileptic focus may be overestimation in some case of the results of routine neuroradiological examination, and the possibility of the existence of reciprocal interrelationship of the epileptic foci and the activation of one of them in removal of the other. The authors suggests a method of control over the activity of intact foci after removal of the dominating elements of the epileptic systems. Some doubt is expressed concerning the diagnostic value of control (i. e. after removal of the focus) ECG examination and the conviction is stated for the need of widen the volume of single-stage stereotaxic operations by combining the destruction of the most active elements of the epileptic systems.
通过对100例癫痫患者进行立体定向手术和“经典”手术治疗的分析,得出了几个前提。癫痫病灶局部诊断中可能出现错误的原因,在某些情况下可能是对常规神经放射学检查结果的高估,以及癫痫病灶之间可能存在相互关系,且切除其中一个病灶时另一个病灶可能被激活。作者提出了一种在切除癫痫系统的主要元素后控制完整病灶活动的方法。对于对照(即切除病灶后)心电图检查的诊断价值存在一些疑问,并强调有必要通过联合破坏癫痫系统中最活跃的元素来扩大单阶段立体定向手术的范围。