Savchenko Iu N, Genne R I
Zh Nevropatol Psikhiatr Im S S Korsakova. 1981;81(6):859-65.
Results of studying the electrographic cortical and subcortical correlates of temporal epilepsy seizures in 23 patients with complicated forms of the disease are presented. To these patients permanent intracerebral electrodes were implanted stereotaxically into the cortical, limbic and thalamic structures of both hemispheres: this was done for both diagnostic and therapeutic purposes. A comparison of the clinical and electrographic manifestations of the seizures showed that the aura correlated with the desynchronization reaction in the deep and cortical structures; seizures of automatism, temporal pseudo-absences, vegetovisceral and polymorphic focal attacks took their course with synchronized epileptic activity in the cortical and limbic structures. Tonico-clonic convulsive seizures may take place with epileptic activity registered in individual structures. A systematized cerebral organization of the temporal epilepsy seizures which are realized by a complex of cortical, limbic and truncal structures is suggested.
本文介绍了对23例复杂型颞叶癫痫患者癫痫发作的皮质和皮质下电活动相关性研究结果。对这些患者采用立体定向技术将永久性脑内电极植入双侧半球的皮质、边缘系统和丘脑结构,目的是诊断和治疗。癫痫发作的临床和电活动表现比较显示,先兆与深部和皮质结构的去同步化反应相关;自动症发作、颞叶假性失神发作、植物神经内脏发作和多形性局灶性发作在皮质和边缘系统结构中表现为同步癫痫活动。强直阵挛性惊厥发作可能与个别结构中记录到的癫痫活动有关。本文提出颞叶癫痫发作是由皮质、边缘系统和脑干结构共同实现的系统化脑组织活动。