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Beginning of Epilepsy Surgery

山口医学 Volume 44 Issue 4 Page 179-186
published_at 1995-08
Title
てんかん外科の幕開け
Beginning of Epilepsy Surgery
Creators Ito Haruhide
Creators Fujii Masami
Creators Sugiyama Shuichi
Source Identifiers
Creator Keywords
epilepsy surgery EEG-video-monitoring temporal lobe resection hemispherectomy corpus callosotomy multiple subpial transection
Monitoring of anticonvulsant, EEG-video-monitoring, amytal test, anesthesia and microsurgical techniques have been developed. Surgery of intractable epilepsy is evaluated as an effective treatment, if the indication is strictly determined. Adequate surgical procedures should be chosen from various methods. A lesionectomy is simply to remove brain tumors, cortical scars after the cerebral injury or inflammation, or arteriovenous malformations. Temporal lobectomy is done to temporal epilepsy. Although there are anterior temporal lobectomy, standard one, tailored one, and selective amygdalohippocampectomy, we use usually tailored one. Hemispherectomy is effective to intractable epilepsy caused by infantile cerebral paralysis. The callosotomy is indicated to intractable epipepsies propaga ting broadly to bilateral sides, that is Lennox-Gastaut, Sturge-Weber, and Rasmussen syndromes. When epileptic focus is present in the functional areas such as motor, sensory, or speech centers, multiple subpial transection (MST) is chosen. Futhermore, surgical practices, their complications, and surgical results were described.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 1995-08
File Version Not Applicable (or Unknown)
Access Rights metadata only access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools 医学部