胼胝体切开术是治疗药物耐药性癫痫的一种安全有效的方法。

Andrew T Hale, Ariana S Barkley, Jeffrey P Blount
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引用次数: 0

摘要

胼胝体切开术(CC)是治疗药物耐药性的全身性或多灶性癫痫(MRE)的有效手术方法。CC的前提是从胼胝体是主要的连合通路这一观察结果推断出来的,该通路允许癫痫活动在大脑半球之间的传播和同步性。CC的候选方案通常保留给寻求姑息性癫痫治疗的患者,目的是降低癫痫发作的频率,尽管已经观察到其他癫痫发作症状(不发作、复杂的部分癫痫发作和强直阵挛)的减少。随着CC手术技术的发展,发病率的降低提高了手术的安全性,而不一定会牺牲疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Corpus Callosotomy Is a Safe and Effective Procedure for Medically Resistant Epilepsy.

Corpus callosotomy (CC) is an effective surgical treatment for medically resistant generalized or multifocal epilepsy (MRE). The premise of CC extrapolates from the observation that the corpus callosum is the predominant commissural pathway that allows spread and synchroneity of epileptogenic activity between the hemispheres. Candidacy for CC is typically reserved for patients seeking palliative epilepsy treatment with the goal of reducing the frequency of drop attacks, although reduction of other seizure semiologies (absence, complex partial seizures, and tonic-clonic) has been observed. A reduction in morbidity affiliated with evolution of surgical techniques to perform CC has improved the safety profile of the procedure without necessarily sacrificing efficacy.

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