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By Gábor Szikla (auth.), F. John Gillingham, Jan Gybels, Edward Hitchcock, Gian Franco Rossi, Gábor Szikla (eds.)

ISBN-10: 3211815910

ISBN-13: 9783211815915

ISBN-10: 3709185920

ISBN-13: 9783709185926

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Extra resources for Advances in Stereotactic and Functional Neurosurgery 4: Proceedings of the 4th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Paris 1979

Example text

Localization of the temporal horn by the same landmarks Fig. 5 B, C, D 48 J. Talairach and G. Szikla: These data reasonably indicate the need for removal of the temporal lobe with the rhinencephalic structures as well as of the lower part of the central gyri. A preoperative diagram is then prepared on this basis (Fig. 4, A, B, C, D). From then on the surgical problem is related to an accurate identification of the exposed cortex (gyri and sulci) and of the major branches of the middle cerebral artery.

Stereo-EEG diagram showing the epileptogenic area and its propagation pathways. The arrows indicate the temporal sequence of the seizure. C. Stereo-EEG: stimulation effects: K sensitivo-motor phenomena. F "Feeling of seizure onset". D. Plan of surgery: dark hatches: lobectomy, clear hatches: external cortical excision, crosses: intraventricular removal of the posterior part of Ammon's horn c < 1"Z: 1 7, o ! ~:; :::---r--= I 4 3 1 2 ~5 ~: =-= -~ J P,imay Senso i-moto Respo ses '--.... r-= - " r.

However, we find useful a prolonged recording of interictal 33 Surgery of Epilepsy Based on Stereotactic Investigations aCtiVIty involving all the plots of implanted electrodes in order to achieve a precise topography of lesions and of "irritative" areas. ). 1. Interictal activity Background activity; slow waves ... Sporadic "spikes" 2. Subclinical paroxysms 3. Ictal activity Spontaneous seizures Hyperpnae Peripheric stimulations Central stimulations Sleep-recording Chemical acti va tions 4. Functional localization Fig.

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Advances in Stereotactic and Functional Neurosurgery 4: Proceedings of the 4th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Paris 1979 by Gábor Szikla (auth.), F. John Gillingham, Jan Gybels, Edward Hitchcock, Gian Franco Rossi, Gábor Szikla (eds.)


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