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Titolo:
RESECTIVE SURGERY FOR MEDICALLY INTRACTABLE EPILEPSY ASSOCIATED WITH SCHIZENCEPHALY
Autore:
SILBERGELD DL; MILLER JW;
Indirizzi:
WASHINGTON UNIV,DEPT NEUROL & NEUROL SURG,EPILEPSY PROGRAM,CAMPUS BOX8057,660 S EUCLID AVE ST LOUIS MO 63110
Titolo Testata:
Journal of neurosurgery
fascicolo: 5, volume: 80, anno: 1994,
pagine: 820 - 825
SICI:
0022-3085(1994)80:5<820:RSFMIE>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Keywords:
EPILEPSY; EMBRYOGENESIS; PORENCEPHALY; SCHIZENCEPHALY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
17
Recensione:
Indirizzi per estratti:
Citazione:
D.L. Silbergeld e J.W. Miller, "RESECTIVE SURGERY FOR MEDICALLY INTRACTABLE EPILEPSY ASSOCIATED WITH SCHIZENCEPHALY", Journal of neurosurgery, 80(5), 1994, pp. 820-825

Abstract

Four adults with unilateral (three cases) or bilateral (one case) closed schizencephaly, medically intractable epilepsy, and otherwise normal neurological examinations are presented. Three were examined preoperatively with magnetic resonance imaging and one with computerized tomography. Scalp electroencephalographic (EEG) studies in all four patients and electrocorticography via intracranial electrodes in two showedseizure origin in the cleft regions in two patients and in the ipsilateral temporal lobe in the other two. Temporal lobectomy was performedin the two patients with temporal lobe foci. Resection of superficialpachygyria around the cleft was performed in one patient. The authorsconclude that the abnormal cortical mantle lining schizencephalic clefts may be epileptogenic. Alternatively, temporal allocortex may become the source of seizures. Therefore, these patients require careful EEG monitoring of the entire ipsilateral hemisphere as well as the cleftregion.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 07:00:32