Patil A A, Andrews R, Torkelson R
Division of Neurosurgery, University of Nebraska Medical Center, Omaha, USA.
Stereotact Funct Neurosurg. 1995;65(1-4):86-9. doi: 10.1159/000098902.
Minimally invasive procedures (multiple subpial transection, topectomy and amygdalahippocampotomy) were used to treat 24 patients with intractable seizures. The seizure foci were in both hemispheres in 3 patients, all 4 lobes of a hemisphere in 1 patient, 3 lobes of a hemisphere in 5 patients, 2 lobes of a hemisphere in 11 patients and the temporal lobe alone in 4 patients. The longest follow-up is 41 months, with a median of 18 months. Sixteen patients have a follow-up of more than 1 years, with excellent results in 10 (66%) and good in the remaining 6 (38%). There were no permanent complications These results are encouraging, because the majority of the patients were poor candidates for surgery.
采用微创程序（多软膜下横切术、大脑皮质切除术和杏仁核海马切除术）治疗24例顽固性癫痫患者。癫痫病灶位于双侧半球的有3例，位于一个半球所有4个脑叶的有1例，位于一个半球3个脑叶的有5例，位于一个半球2个脑叶的有11例，仅位于颞叶的有4例。最长随访时间为41个月，中位数为18个月。16例患者随访超过1年，其中10例（66%）效果极佳，其余6例（38%）效果良好。无永久性并发症。这些结果令人鼓舞，因为大多数患者并非手术的理想人选。
