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[立体定向杏仁核及杏仁核海马切开术治疗伴有明显行为障碍的颞叶癫痫]

[Stereotaxic amygdalo- and amygdalohippocampotomy in temporal epilepsy with manifest behavioral disorders].

作者信息

Sigus O A, Chkhenkeli S A

出版信息

Vopr Neirokhir. 1976 Jan-Feb(1):17-22.

PMID:769332
Abstract

Clinical results of stereotactical destruction in the amygdalar complex and, in certain cases, in the hippocampus show that this manipulation is very important for the correction of behavioral disorders in patients with temporal lobe epilepsy. SEEG studies demonstrated that in cases of epilepsy with paroxysmal affective states an epileptical electrical activity can be demonstrated in the amygdalar complex. Our investigations also show that stereotactical operations for epilepsy are more effective for the control of behavioral and emotional disorders, than for seizures. It was suggested that a combination of classical (resection) and stereotactical methods gives a new possibility for the surgical treatment of severe forms of temporal lobe epilepsy.

摘要

杏仁核复合体以及某些情况下海马体的立体定向毁损术的临床结果表明,这种操作对于纠正颞叶癫痫患者的行为障碍非常重要。立体定向脑电图(SEEG)研究表明,在伴有阵发性情感状态的癫痫病例中,可在杏仁核复合体中显示出癫痫电活动。我们的研究还表明,癫痫的立体定向手术在控制行为和情绪障碍方面比控制癫痫发作更有效。有人提出,经典(切除)方法与立体定向方法相结合为严重形式的颞叶癫痫的外科治疗提供了新的可能性。

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