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Titolo:
SUBTEMPORAL TRANSPARAHIPPOCAMPAL AMYGDALOHIPPOCAMPECTOMY FOR SURGICAL-TREATMENT OF MESIAL TEMPORAL-LOBE EPILEPSY
Autore:
PARK TS; BOURGEOIS BFD; SILBERGELD DL; DODSON WE;
Indirizzi:
ST LOUIS CHILDRENS HOSP,DEPT NEUROSURG,1 CHILDRENS PL ST LOUIS MO 63110 ST LOUIS CHILDRENS HOSP,EPILEPSY CTR ST LOUIS MO 63110 WASHINGTON UNIV,SCH MED,DEPT NEUROL & NEUROL SURG ST LOUIS MO 63110
Titolo Testata:
Journal of neurosurgery
fascicolo: 6, volume: 85, anno: 1996,
pagine: 1172 - 1176
SICI:
0022-3085(1996)85:6<1172:STAFS>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
COMPLEX PARTIAL SEIZURES; ENTORHINAL CORTEX; CORTICAL AFFERENTS; LOBECTOMY; RESECTION; MONKEY; ABNORMALITIES; MEMORY; DEPTH;
Keywords:
AMYGDALOHIPPOCAMPECTOMY; COMPLEX PARTIAL SEIZURE; PARAHIPPOCAMPAL GYRUS; SUBTEMPORAL APPROACH;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
34
Recensione:
Indirizzi per estratti:
Citazione:
T.S. Park et al., "SUBTEMPORAL TRANSPARAHIPPOCAMPAL AMYGDALOHIPPOCAMPECTOMY FOR SURGICAL-TREATMENT OF MESIAL TEMPORAL-LOBE EPILEPSY", Journal of neurosurgery, 85(6), 1996, pp. 1172-1176

Abstract

Amygdalohippocampectomy (AH) is an accepted surgical option for treatment of medically refractory mesial temporal lobe epilepsy. Operative approaches to the amygdala and hippocampus that previously have been reported include: the sylvian fissure. the superior temporal sulcus, the middle temporal gyrus, and the fusiform gyrus. Regardless of the approach, AH permits not only extirpation of an epileptogenic focus in the amygdala and anterior hippocampus, but interruption of pathways of seizure spread via the entorhinal cortex and the parahippocampal gyms. The authors report a modification of a surgical technique for AH via the parahippocampal gyrus, in which excision is limited to the anteriorhippocampus, amygdala and parahippocampal gyrus while preserving the fusiform gyms and the rest of the temporal lobe. Because transparahippocampal AH avoids injury to the fusiform gyrus and the lateral temporal lobe, it can be performed without intracarotid sodium amobarbital testing of language dominance and language mapping. Thus the operation would be particularly suitable for pediatric patients in whom intraoperative language mapping before resection is difficult.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 20:13:34