Advertisement

Lessons from Amygdaloid Surgery in Long-Term Observation

  • H. Narabayashi
Conference paper
Part of the Acta Neurochirurgica book series (NEUROCHIRURGICA, volume 23)

Abstract

In my first paper on amygdaloid surgery in 1963 5, it was clearly stated that the idea of the procedure was to minimize the surgical lesion to one certain structure in the depth of the temporal lobe in order to achieve relief of emotional and behavioural disturbances in epileptic patients in a wide sense, as well as of seizure problems. This thought might have followed, at least partially, the wide experiences of the Montreal school on temporal lobe epilepsy. For selection of cases for surgery, the first category was of those patients with severely disturbed behavior and with clinical epileptic seizures, either of the grand mal or temporal lobe type, and the second category were those with no clear clinical fits, but with a definite epileptic EEG. The third were those with neither clinical seizures nor epileptic EEG, but presenting various grades of non-progressive feeblemindedness, which suggested non-progressive organic brain-damage in those cases. Most of the cases in the latter had a history of encephalitic convulsions in early childhood. Non-epileptic patients with normal intellectual ability, and behaviour problems only, and those with major psychosis were excluded from my series.

Keywords

Cerebral Palsy Temporal Lobe Epilepsy Lateral Nucleus Medial Nucleus Amygdaloid Nucleus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Heimburger, R. F., Whitlock, C. C., Kalsbeck, J. E. (1966), Stereotaxic amygdalotomy for epilepsy with aggressive behavior. J. Amer. med. Ass. 198, 741.CrossRefGoogle Scholar
  2. 2.
    Hitchcock, E., Cairns, Valerie (1973), Amygdalotomy. Postgraduate Medical Journal 49, 894–904.PubMedCrossRefGoogle Scholar
  3. 3.
    Kiloh, L. G., Gye, R. S., Rushworth, G. R., Bell, D. S., White, R. T. (1974), Stereotactic amygdaloidotomy for aggressive behaviour. J. Neurol., Neurosurg., Psych. 37, 437–444.Google Scholar
  4. 4.
    Nagahata, M. (1968), Behavior disorder and minor brain damage. Shonika Shinryo 31, 1193. (In Japanese.)Google Scholar
  5. 5.
    Narabayashi, H., Nagao, T., Saito, Y., Yoshida, M., Nagahata, M. (1963), Stereotaxic amygdalotomy for behavior disorders. Arch. Neurol. 9, 1–16.PubMedCrossRefGoogle Scholar
  6. 6.
    Narabayashi, H., Nagao, T., Saito, Y., Yoshida, M., Nagahata, M., Mizutani, T. (1970), Epileptic seizures and the stereotaxic amygdalotomy. Confin. neurol. 32, 289–297.PubMedCrossRefGoogle Scholar
  7. 7.
    Narabayashi, H., Nagao, T., Saito, Y., Yoshida, M., Nagahata, M., (1971), Stereotaxic amygdalotomy for behavioral disorders of epileptic etiology. Excerpta Medica International Congress Series No. 274. Psychiatry (Part I), pp. 175–184.Google Scholar
  8. 8.
    Narabayashi, H., Nagao, T., Saito, Y., Yoshida, M., Nagahata, M. (1972), Stereotaxic amygdalotomy. In: The neurobiology of the amygdala (Eleftheriou, Basil E., ed.), pp. 459–483. New York-London: Plenum Press.Google Scholar
  9. 9.
    Narabayashi, H., Nagao, T., Saito, Y., Yoshida, M., Nagahata, M., Shima, F. (1973), Which is the better amygdala target, the medial or lateral nuclei? (For behaviour problems and paroxysm in epileptics.) Surgical Approaches in Psychiatry, Medical and Technical Publishing Co., Ltd., edited by Laitinen, L., and Livingston, K., pp. 129.Google Scholar
  10. 10.
    Penfield, W., Mathieson, G. (1974), Memory. Arch. Neurol. 31, 145–154.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1976

Authors and Affiliations

  • H. Narabayashi
    • 1
  1. 1.Juntendo University HospitalTokyoJapan

Personalised recommendations