Application with Classic Craniotomy in the Treatment of Focal Epilepsy
Both the search for new methods of surgical treatment of epilepsy and improvement of the contemporary ones depends on attempts to improve the results of surgical treatment itself. The introduction of stereotactic methods into the surgical practice of epilepsy treatment in the early fifties was stimulated by the experimental works of Jasper et al. 2, Kopeloff et al. 4 who demonstrated the possibility of obtaining experimental epilepsy from a focus in the brain situated in deep brain structures. In the following years, epilepsy investigation by means of chronic electrodes in man demonstrated the possibility of introducing epileptogenic charge in subcortical structures with the secondary appearance of epileptogenic discharges in different zones of the cortex. In this respect, particular interest was focused on the paper by Pagni 5 concerned with stereo-encephalographical observation in psychomotor temporal attacks, where the epileptogenic focus was shown to occur in mediobasal structures of temporal lobe following which the secondary invasion of new cortex is followed by clinical manifestation of epileptic attack.
KeywordsSubcortical Structure Focal Epilepsy Epileptic Focus Epileptogenic Focus Subcortical Nucleus
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