Surgical treatment of epilepsy
| Autor: | Graf M, Pendl G, Czech T, Grunert P |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Adult
Male medicine.medical_specialty Secondary generalization Intractable epilepsy Hippocampus Stereotaxic Techniques Lesion 03 medical and health sciences Epilepsy 0302 clinical medicine Thalamus Humans Medicine Ablative surgery Surgical treatment Pathological business.industry Electroencephalography General Medicine Middle Aged Amygdala medicine.disease Psychosurgery Surgery 030220 oncology & carcinogenesis Female Epilepsies Partial Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery Follow-Up Studies Dominant hemisphere |
| Zdroj: | min - Minimally Invasive Neurosurgery. 33:27-29 |
| ISSN: | 1439-2291 0946-7211 |
| DOI: | 10.1055/s-2008-1053592 |
| Popis: | Seventy patients with intractable epilepsy were surgically treated. Thirty-three patients underwent a stereotactic procedure and in all as a first-stage operation fornicotomy was performed. Because of inadequate results in 14 patients, an additional stereotactic intervention was necessary; the targets were amygdala, thalamus, and Forel's H-field, and the final outcome of these patients was 9 (27%) seizure-free, 19 (58%) improved, and 5 (15%) unchanged. In 3 patients a selective amygdalo-hippocampectomy was performed with 2 seizure-free patients and one with improvement. Topectomy in focal epilepsy in 5 patients resulted in freedom from seizures in all cases. In 23 patients a lobectomy was performed; 10 (43%) were seizures-free, 8 (35%) were improved, and 5 (22%) were unchanged. In 6 patients only a pathological lesion was resected. Our results speak in favour of ablative surgery. However, stereotactic operations are indicated in cases with secondary generalization and dissipated foci on the dominant hemisphere. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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