THE TREATMENT OF EPILEPSY BY LIGATURE OF THE VERTEBRAL ARTERIES.

THE TREATMENT OF EPILEPSY BY LIGATURE OF THE VERTEBRAL ARTERIES.
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通过结扎椎动脉治疗癫痫。

DOI:
10.1093/brain/5.2.170
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发表时间:
1882
期刊:
影响因子:
--
通讯作者:
W. Alexander
W. Alexander
中科院分区:
--
文献类型:
--
作者:
W. Alexander

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1881年11月19日,在《医学时报和公报》上发表了三例癫痫病例,其中左侧椎动脉结扎后癫痫发作停止。第一例病例已往返加尔各答。他现在在利物浦有一份永久合同,到目前为止还没有复发过。这个白痴男孩仍然在癫痫病房里,不断地接受观察,威廉姆斯的四肢肿胀在医院里;两人都没有发作过。我认为我们可以想当然地认为,在手术后的10个月内,这些病例中已经建立了侧支循环,而且治愈有望是永久性的。1882年3月11日,我在同一杂志上发表的论文中详细报道了5例病例。尼古拉斯·M,那个流口水、咆哮的白痴,自从最后一次被人看到以来,直到5月31日只有一次发作。自12月28日进行第二次手术以来,他总共发作了两次。这个孩子没有一个舒适的家。他生活在一种非常被忽视的状态,因此,如果他完全复发,我也不会感到惊讶。令人满意的是,尽管周围的情况有所改善,但这种改善仍在持续。我的第二个病人,玛格丽特·奥德,被送回了丁格尔山,因为她无家可归。欧文医生不久前告诉我,大约在3月底,她和其他一些癫痫患者脾气暴躁,并有某种程度的发作。从那时起,她就一直是自由的。12月31日,右侧椎体被捆绑。2016年6月7日嘉宾:http://brain.牛津大学的期刊。组织/
ON November 19th, 1881, 1 published in the'Medical Times and Gazette'three cases of epilepsy where ligature of the left vertebral artery was followed by a cessation of the epileptic fits. The first case has made a voyage to Calcutta and back. He is now engaged in a permanent situation in Liverpool, and up to the present time has had no relapse. The idiot boy is still in the epileptic ward and constantly under observation, and Williams is in hospital with a swollen limb; neither of these two have had any fits. I think we may take it for granted that the collateral circulation has been established in these eases during the ten months that have elapsed since the operation, and that the cure promises to be permanent In my paper published in the same journal on March 11th, 1882, 1 reported five cases in detail. Nicholas M., the slobbering, howling idiot, has had up to May 31st only one fit since last seen. He has had two fits altogether since the second operation, which was performed on December 28th. This child has not a comfortable home. He lives in a very neglected state, and in consequence I should not have been surprised had a complete relapse taken place. It is satisfactory to note that the improvement has persisted in spite of surrounding circumstances. My second case, Margaret O'D., was sent back to Dingle Mount, as she has no home to go to. Dr. Irvine informed me a short time ago, that about the end of March she got into a terrible temper with some of the other epileptics, and had some kind of fits. Since that time she has been free. The right vertebral was tied on December 31st. by guest on June 7, 2016 http://brain. oxfordjournals. org/