Summary
In 81 patients with intractable epileptic seizures 121 stereoelectroencephalographic (SEEG) examinations and 91 operations with stereoencephalotomy (SET) were carried out. SEEG and SET targets were chosen in 22 different subcortical structures and in the medial frontal cortex. In 6 of 18 temporal epilepsy cases SET was followed by classical hippocampectomy. With the exception of temporal lobe cases all others were unsuitable for classical neurosurgery. Of 61 controlled patients 24.5% were cured or greatly improved cured, 39.5% improved and 36% unimproved. Correlations among the clinical, EEG and SEEG findings, SET and therapeutic effects are discussed together with the role of stereotactic procedures.
In our experience (Cigánek 1962) among patients unsuccessfully treated by conservative methods over 60% are unsuitable for classical procedures based on the criteria of the Montreal neurosurgical school, because of the absence of leading epileptogenic area or because they represent cases with completely or almost completely generalized seizures. In these cases stereotaxy offers prospects diagnostic refinement and treatment.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Cigánek, L. (1962), The possibilities of the surgical treatment of focal epilepsies (in Slovak). Bratislava: The Publishing House of the Slovak Academy of Sciences.
Nádvorník, P., Šramka, M., Gajdošová, D. (1975), A critical view on stereotactic treatment of epilepsy (in Slovak). Čs. Neurol. Neurochir. 38, 15–18.
Romodanov, A. P. (1972), Combined surgical interventions on the brain for epilepsy. In: Present limits of neurosurgery (I. Fusek, Z. Kunc, eds.). Prague: Avicenum.
Schaltenbrand, G., Spuler, H., Nadjimi, M., Hopf, H., Waren, W. (1966a), Die stereotaktische Behandlung der Epilepsien. Confin. neurol. (Basel) 27, 111–113.
Schaltenbrand, G., Spuler, H., Nadjimi, M., Hopf, H., Waren, W. (1966b), Die stereotaktische Behandlung der symptomatischen Epilepsien. Münch. med. Wschr. 108, 1707–1712.
Šramka, M., Nádvorník, P., Lojka, J., Cigánek, L. (1972), Relations of the anterior thalamic reticulum to epilepsy. In: Present limits of neurosurgery (I. Fusek, Z. Kunc, eds.). Prague: Avicenum.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1976 Springer-Verlag
About this paper
Cite this paper
Cigánek, L., Nádvorník, P., Šramka, M., Fritz, G. (1976). Effects of Stereotactic Operations in the Treatment of Epilepsies—Neurological Aspects. In: Gillingham, F.J., Hitchcock, E.R., Nádvorník, P. (eds) Stereotactic Treatment of Epilepsy. Acta Neurochirurgica, vol 23. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8444-8_31
Download citation
DOI: https://doi.org/10.1007/978-3-7091-8444-8_31
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-8446-2
Online ISBN: 978-3-7091-8444-8
eBook Packages: Springer Book Archive