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
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.
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