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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.

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。

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