Outcomes and indications of corpus callosum section for intractable seizure control.
Outcomes and indications of corpus callosum section for intractable seizure control.
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胼胝体切片控制顽固性癫痫发作的结果和适应症。
DOI：
10.1159/000101241
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发表时间：
1983
期刊：
影响因子：
--
通讯作者：
W. S. Corrie
中科院分区：
文献类型：
--
作者：
M. Rayport;S. Ferguson;W. S. Corrie
对 9 例严格分类的不适合局灶性皮质切除术的药物难治性癫痫患者进行了胼胝切开术 (CCS)。 8 名患者分两个阶段进行了完整的 CCS。 1 例仅有前部CCS。 9 名患者中没有一人摆脱癫痫发作。在 7 中，至少一种癫痫发作类型的癫痫发作频率减少了 3-60 倍。 2 起掉落攻击已停止。临床癫痫发作模式似乎比术前脑电图和立体脑电图研究更有助于预测结果。完全的CCS可能会导致语言、半球竞争和注意力记忆排序领域的长期行为障碍，从而影响日常生活领域。
Callosotomy (CCS) was performed in 9 cases of rigorously classified drug-refractory epilepsy not eligible for focal cortical resection. Complete CCS was carried out in two stages in 8 patients. 1 case had an anterior CCS only. None of the 9 patients has become seizure free. In 7, seizure frequency has diminished by a factor of 3-60 for at least one seizure type. Drop attacks in 2 cases have ceased. Clinical seizure patterns appeared more helpful in predicting outcome than preoperative EEG and stereoelectroencephalographic studies. Complete CCS may result in prolonged behavioral disturbances in the areas of language, hemisphere competition and attention-memory sequencing with impact on the sphere of daily living.