詹姆斯四世演讲。癫痫手术,下丘脑错构瘤以及治疗方法的探索。

J V Rosenfeld
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引用次数: 0

摘要

本次演讲将回顾癫痫的流行病学、癫痫手术的发展、手术病例的选择、癫痫手术的范围和结果,以及这一新兴领域的未来发展。下丘脑错构瘤(HH)是一种罕见的发育性病变,可引起顽固性癫痫,药物治疗难治。下丘脑错构瘤是一项艰巨的手术挑战。应用中线经胼胝体筋膜间入路从第三脑室内切除HH,在一系列28例患者中,被提出。这种方法产生了极好的效果,而且发病率极低。这种手术一般是在癫痫手术的背景下进行的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
James IV Lecture. Epilepsy surgery, hypothalamic hamartomas and the quest for a cure.

This presentation reviews the epidemiology of epilepsy, the evolution of epilepsy surgery, the selection of cases for surgery, the range and results of epilepsy surgery, and the future development of this burgeoning field. Hypothalamic hamartoma (HH) is a rare developmental lesion which causes intractable gelastic epilepsy which is refractory to medical therapy. Hypothalamic hamartoma presents a formidable surgical challenge. The application of a midline transcallosal interforniceal approach to resect the HH from within the third ventricle, in a series of 28 patients, is presented. This has produced excellent results with minimal morbidity. This surgery is placed within the context of epilepsy surgery in general.

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