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Long-term Results of Stereotactic Surgery for Therapy-Resistant, Mainly Partial Epilepsies

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Part of the book series: Advances in Neurosurgery ((NEURO,volume 15))

Abstract

When the treatment of epilepsy with drugs reaches its limits as the disease becomes resistant to therapy, the patient must be considered for surgical management. The steady increase in symptoms and the. accompanying deterioration in the quality of life can be treated succes-fully by various forms of surgical intervention (1, 8, 9, 22). Despite refinements in microsurgical instrumentation and techniques, however, complications, including impaired memory and speech, still occur (1, 9, 14).

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References

  1. Birri R, Perret B, Wieser HG (1982) Der Einfluß verschiedener Temporallappenoperationen auf das Gedächtnis bei Epileptikern. Nervenarzt 53:144–149

    PubMed  CAS  Google Scholar 

  2. Hassler R, Riechert T (1957) Beitrag zur Behandlung der temporalen Epilepsie durch gezielte Fornicotomie. Zbl Ges Neurologie 140:10

    Google Scholar 

  3. Hassler R, Riechert T (1957) Über einen Fall von doppelseitiger Fornicotomie bei s.g. temporaler Epilepsie. Acta Neurochir (Wien) 5:330–340

    Article  CAS  Google Scholar 

  4. Horsley V (1886) Brain surgery. Br Med J 2:670–675

    Google Scholar 

  5. Jensen I (1975) Temporal lobe surgery around the world. Acta Neurol Scand 52:354–373

    Article  PubMed  CAS  Google Scholar 

  6. Mundinger F, Salomao R, Gröbner E (1981) Indikationen stereotaktischer Operationen und Langzeitergebnisse bei konservativer, therapieresistenter, insbesondere temporaler Epilepsie. Arch Psychiatr Nervenkr 231:1–11

    Article  PubMed  CAS  Google Scholar 

  7. Mundinger F, Gröbner E et al. (1976) Late results of stereotactic surgery of epilepsy predominantly temporal lobe type. Acta Neurochir (Suppl) 23:177–182

    Google Scholar 

  8. Penfield W, Jasper H (1954) Epilepsy and functional anatomy of human brain. Little Brown, Boston

    Google Scholar 

  9. Penfield W, Milner B (1958) Memory deficit producted by lesions in the hippocampal zone. Arch Neurol Psychiatry 79:475–497

    CAS  Google Scholar 

  10. Quesney LF, Gloor P (1978) Generalized penicillin epilepsy in the cat: correlation between electrophysiological data and distribution of 14C penicillin in the brain. Epilepsia 17:35–45

    Google Scholar 

  11. Quesny LF, Gloor P et al (1977) Pathophysiology of generalized penicillin epilepsy in the cat: the role of cortical and subcortical structures. I. Systemic application of penicillin. Electroen-ceph Clin Neurophysiol 42:640–655

    Article  Google Scholar 

  12. Riechert T (1939) Beitrag zur operativen Behandlung der traumatischen Spätepilepsie. Allg Z Psychiatr ihre Grenzgeb 110:94–110

    Google Scholar 

  13. Riechert T, Mundinger F (1956) Beschreibung und Anwendung eines Zielgerätes für stereotaktische Hirnoperationen (II. Modell). Acta Neurochir (Wien) 3:308–333

    Google Scholar 

  14. Scaville WP, Milner B (1957) Loss of recent memory after bilateral hippocampal lesion. J Neurol Neurosurg Psychiatry 20:11–21

    Article  Google Scholar 

  15. Schwab RS et al. (1965) Treatment of intractable temporal lobe epilepsy by stereotactic amygdala lesions. Trans Am Neurol Assoc 90:12–19

    PubMed  CAS  Google Scholar 

  16. Spiegel EA, Wycis HT (1950) Thalamic recordings in man with special reference to seizure discharges. Elektroenceph Clin Neurophysiol 2:23–27

    Article  Google Scholar 

  17. Spiegel EA, Wycis HT, Baird H (1958) Long-range effects of elec-tropallidoansotomy in extrapyramidal and convulsive disorders. Neurology 8:734–740

    PubMed  CAS  Google Scholar 

  18. Talairach J, Bancaud J (1973) Stereotaxic approach to epilepsy. Methodology of anatomo-functional stereotaxic investigations. Progr Neurol Surg 5:297–354

    Google Scholar 

  19. Umbach W, Riechert T (1964) Elektrophysiologische und klinische Ergebnisse stereotaktischer Eingriffe im limbischen System bei temporaler Epilepsie. Nervenarzt 35:482–485

    PubMed  CAS  Google Scholar 

  20. Umbach W (1967) Die operative und stereotaktische Behandlung der Epilepsie. Therapie-Woche 5:123–129

    Google Scholar 

  21. Umbach W (1966) Long term results of fornicotomy for temporal epilepsy. Confin Neurol 27:121–123

    Article  PubMed  CAS  Google Scholar 

  22. Ward Jr AA (1975) Theoretical basis for surgical therapy of epilepsy. Adv Neurology 8:23–35

    Google Scholar 

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© 1987 Springer-Verlag Berlin Heidelberg

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Mohadjer, M., Ruh, E., Mundinger, F. (1987). Long-term Results of Stereotactic Surgery for Therapy-Resistant, Mainly Partial Epilepsies. In: Wüllenweber, R., Klinger, M., Brock, M. (eds) Regulation of Cerebral Blood Flow and Metabolism Neurosurgical Treatment of Epilepsy Rehabilitation in Neurosurgery. Advances in Neurosurgery, vol 15. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71793-2_40

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  • DOI: https://doi.org/10.1007/978-3-642-71793-2_40

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-17402-8

  • Online ISBN: 978-3-642-71793-2

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