[Diagnosis and therapy of resistant temporal epilepsy].
A complex research of epileptogenic focus (electroencephalography, invasive electroencephalography, MRI, PET) has allowed to localize a primary epileptogenic zone in medial temporal epilepsy in amygdale in 52% of the patients, in the anterior hippocampus--in 30% cases, a simultaneous and equivalent involvement of both amygdale and anterior hippocampus was diagnosed in 18% of the patients examined. Stereotaxic selective amygdalehippocampotomy was found to be effective in patients with resistant medial and lateral temporal epilepsy. The attacks stopped in 36% of the cases. In other patients frequency and duration of epileptic paroxysms considerably reduced, the structure of the paroxysms changed.
Spirin
A L
AL
Anichkov
A D
AD
Mozhaev
S V
SV
Kholiavin
A I
AI
Meliucheva
L A
LA
Dydas
M S
MS
Plotnikova
I V
IV
D000328:Adult; D000679:Amygdala / Q000378:metabolism / Q000473:pathology / Q000601:surgery; D000927:Anticonvulsants / Q000627:therapeutic use; D001921:Brain / Q000378:metabolism / Q000473:pathology / Q000601:surgery; D004351:Drug Resistance; D004567:Electrodes, Implanted; D004569:Electroencephalography; D004833:Epilepsy, Temporal Lobe / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery*; D006624:Hippocampus / Q000378:metabolism / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D019635:Neurosurgical Procedures / Q000379:methods; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013238:Stereotaxic Techniques; D014055:Tomography, Emission-Computed
D000927:Anticonvulsants
Diagnostika i lechenie rezistentnykh visochnykh épilepsiĭ.