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[立体定向手术治疗难治性癫痫的适应症及长期效果(作者译)]

[Indications and long-term results of stereotactic operations in therapy-resistant epilepsy (author's transl)].

作者信息

Mundinger F, Salomao F, Gröbner E

出版信息

Arch Psychiatr Nervenkr (1970). 1981;231(1):1-11. doi: 10.1007/BF00342826.

DOI:10.1007/BF00342826
PMID:7032458
Abstract

Stereotactic functional surgery was performed on 45 patients with predominantly temporal epilepsy. Results of up to 24 years (= 5.85 +/- 2.25 years) are reported. Depending on the type of seizure and after careful analysis of the EEG focus, the frequency and intensity of the various seizure types, as well as personality and behavior disturbances, can be improved in more than two-thirds of the cases. This improvement is achieved by combining different target points with coagulation of the subcortical motor and senso-motor centers and neuronal structures, thereby cutting off the mostly double-track corticosubcortical connections

摘要

对45例以颞叶癫痫为主的患者进行了立体定向功能手术。报告了长达24年(平均5.85±2.25年)的结果。根据癫痫发作类型并经过脑电图病灶的仔细分析,在超过三分之二的病例中,各种癫痫发作类型的频率和强度以及人格和行为障碍均可得到改善。这种改善是通过将不同靶点与皮质下运动和感觉运动中枢及神经结构的凝固相结合来实现的,从而切断大部分双轨皮质-皮质下连接。

相似文献

1
[Indications and long-term results of stereotactic operations in therapy-resistant epilepsy (author's transl)].[立体定向手术治疗难治性癫痫的适应症及长期效果(作者译)]
Arch Psychiatr Nervenkr (1970). 1981;231(1):1-11. doi: 10.1007/BF00342826.
2
Stereotactic operations in generalized forms of epilepsy.全身性癫痫的立体定向手术
Acta Neurochir (Wien). 1974;Suppl 21:15-24. doi: 10.1007/978-3-7091-8355-7_3.
3
Treatment of temporal-lobe epilepsy by stereotactic surgery.
Confin Neurol. 1969;31(1):80-5. doi: 10.1159/000103510.
4
Late results of stereotactic radiofrequency lesions in epilepsy.癫痫立体定向射频毁损术的远期疗效
Acta Neurochir Suppl (Wien). 1980;30:145-9. doi: 10.1007/978-3-7091-8592-6_18.
5
The role of stereotactic amygdalotomy in the treatment of temporal lobe epilepsy associated with behavioral disorders.立体定向杏仁核切开术在治疗与行为障碍相关的颞叶癫痫中的作用。
Appl Neurophysiol. 1983;46(1-4):19-25. doi: 10.1159/000101236.
6
Bilateral stereotactic radiofrequency amygdalohippocampectomy for a patient with bilateral temporal lobe epilepsy.双侧立体定向射频杏仁核海马切除术治疗双侧颞叶癫痫患者。
Epilepsia. 2013 Nov;54(11):e155-8. doi: 10.1111/epi.12387. Epub 2013 Oct 10.
7
Stereotactic surgery of the limbic system in epilepsy.癫痫中边缘系统的立体定向手术
Acta Neurochir (Wien). 1976(23 Suppl):225-34. doi: 10.1007/978-3-7091-8444-8_36.
8
Relevance of removal of limbic structures in surgery for temporal lobe epilepsy.颞叶癫痫手术中切除边缘系统结构的相关性。
Can J Neurol Sci. 1991 Nov;18(4 Suppl):628-35. doi: 10.1017/s0317167100032844.
9
[Temporal lobe epilepsy during the growth stage treated by amygdalotomy and hippocampotomy].
Neurol Neurochir Pol. 1981 Sep-Dec;15(5-6):611-5.
10
[The stereotaxic treatment of symptomatic epilepsy].[症状性癫痫的立体定向治疗]
Munch Med Wochenschr. 1966 Sep 2;108(35):1707-11.

本文引用的文献

1
[ELECTROPHYSIOLOGICAL AND CLINICAL RESULTS OF STEREOTAXIC OPERATIONS ON THE LIMBIC SYSTEM IN TEMPORAL EPILEPSY].[颞叶癫痫患者边缘系统立体定向手术的电生理及临床结果]
Nervenarzt. 1964 Nov;35:482-8.
2
STEREOTAXIC DESTRUCTION OF FOREL-H FOR TREATMENT OF EPILEPSY.立体定向毁损Forel-H区治疗癫痫
Neurochirurgia (Stuttg). 1963 Dec;6:164-76. doi: 10.1055/s-0028-1095439.
3
Stereotaxic amygdalotomy for behavior disorders.
Arch Neurol. 1963 Jul;9:1-16. doi: 10.1001/archneur.1963.00460070011001.
4
Long-range effects of electropallidoansotomy in extrapyramidal and convulsive disorders.
Neurology. 1958 Oct;8(10):734-40. doi: 10.1212/wnl.8.10.734.
5
[A case of bilateral fornicotomy in so-called temporal epilepsy].[一例所谓颞叶癫痫的双侧穹窿切开术病例]
Acta Neurochir (Wien). 1957;5(2-5):330-40. doi: 10.1007/BF01401728.
6
[Description and use of an aiming device for stereotactic brain surgery (II. model)].
Acta Neurochir Suppl (Wien). 1955;3:308-37.
7
Long-term results of fornicotomy for temporal epilepsy.颞叶癫痫行穹窿切开术的长期疗效
Confin Neurol. 1966;27(1):121-3. doi: 10.1159/000103941.
8
Treatment of intractable temporal lobe epilepsy by stereotactic amygdala lesions.立体定向杏仁核毁损术治疗难治性颞叶癫痫
Trans Am Neurol Assoc. 1965;90:12-9.
9
Epileptic seizures and the stereotaxic amygdalotomy.癫痫发作与立体定向杏仁核切开术
Confin Neurol. 1970;32(2):289-97. doi: 10.1159/000103429.
10
Computer calculations of target parameters for a stereotactic apparatus.立体定向设备目标参数的计算机计算。
Acta Neurochir (Wien). 1973;29(1):123-9. doi: 10.1007/BF01414622.