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与颞叶癫痫手术控制相关的心理状态

Psychological status related to surgical control of temporal lobe seizures.

作者信息

Rausch R, Crandall P H

出版信息

Epilepsia. 1982 Apr;23(2):191-202. doi: 10.1111/j.1528-1157.1982.tb05067.x.

DOI:10.1111/j.1528-1157.1982.tb05067.x
PMID:7075573
Abstract

Patients who underwent temporal lobe surgery with diagnosis aided by stereoelectroencephalography (SEEG) were evaluated psychosocially before surgery and at one month and one year after surgery. Patients who were not operated on but who also had been evaluated by SEEG served as controls. These patients were evaluated at time periods comparable to those of the operated cases. At one year after surgery, patients whose seizures had been relieved had improved in Degree of Dependency, Work Performance, and Non-Family Relationships. Patients whose seizures were not controlled by surgery and nonoperated patients did not show any significant change in psychosocial measurements one year postoperatively. Psychosocial improvements were seen regardless of the side of the brain operated. While patients whose seizure were reduced experienced memory deficits of the type associated with side of the temporal lobe resection, the data suggested that there was improvement in intellectual score and, in the case of right-sided surgery patients, memory functions associated with the contralateral, intact hemisphere.

摘要

对接受了立体定向脑电图(SEEG)辅助诊断下颞叶手术的患者,在手术前、术后1个月和1年后进行了社会心理评估。未接受手术但也接受了SEEG评估的患者作为对照。这些患者在与手术病例相当的时间段进行评估。术后1年,癫痫得到缓解的患者在依赖程度、工作表现和非家庭关系方面有所改善。手术未能控制癫痫发作的患者和未接受手术的患者在术后1年的社会心理测量方面没有显示出任何显著变化。无论手术的是哪一侧大脑,都观察到了社会心理方面的改善。虽然癫痫发作减少的患者出现了与颞叶切除侧相关类型的记忆缺陷,但数据表明智力得分有所提高,对于右侧手术的患者,与对侧完整半球相关的记忆功能也有所改善。

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