By Prof. F. J. Gillingham (auth.), F. John Gillingham, Edward R. Hitchcock, Pavel Nádvorník (eds.)
has additional broadened debatable although this topic and certainly the result of amygdaloidotomy could be. lt was once Jinnai in 1963 who first released his paintings at the keep an eye on of intractable epilepsy by way of interruption of conduction pathways of the epileptic discharge utilizing stereotactic lesions within the box of Forel. This was once by means of lesions within the thalamus by way of Mullen in 1967, and via capsular lesions via Bertrand in 1970 and myself in 1971. within the macroscopic shape this used to be performed through component of the inter hemispheric cerebral connections through open operation by way of Vogel in 1969. This has been a big contribution to wisdom of the elemental mechanisms of the propagation of the epileptic discharge and to our figuring out of mind functionality yet i'd glance to stereotactic recommendations for the larger improvement capability. There are, after all, barriers. Bilateral lesions of powerful dimension are tough to accomplish with out negative effects, fairly in recognize of speech (notably dysarthria) and but are crucial if intractable epilepsy is to be con trolled in severity and frequency. elevated accuracy of goal siting and keep watch over of the dimensions of lesion should not the full resolution for inevi tably there are components the place very important neuronal circuits are very crowded. yet we must always no longer underestimate the contribution of surgical procedure. more and more the clinical remedy of epilepsy is below scrutiny.
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Has additional broadened arguable although this topic and certainly the result of amygdaloidotomy might be. lt used to be Jinnai in 1963 who first released his paintings at the regulate of intractable epilepsy through interruption of conduction pathways of the epileptic discharge utilizing stereotactic lesions within the box of Forel.
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Additional resources for Stereotactic Treatment of Epilepsy: Symposium under the Sponsorship of the European Society for Stereotactic and Functional Neurosurgery, Bratislava 1975
On the right: repetitive potentials in the motor and cingulate areas, after stimulation of the frontobasal region, with increasing amplitude and distance between two potentials and later with group of muscle potential at rest (evoked petit mal activity). During voluntary contraction of the left biceps muscle there is no increase of the repetitive irritative process after the same stimulation. During voluntary contraction the irritative process does not appear after double stimulation either. Calibration: 100 msec, 100 microV for the deep electrodes, 100 microV for the muscle.
V. Grachev, 1972). Thus, the data obtained show that in epilepsy clinics it is no longer possible to be confined to general investigations and findings of pathological focus but necessary to detect the functional organ i- Stereoelectrosubcorticography in Epilepsy 31 zation of an epileptic system with maximum precision of subordinated correlations within its range, and the dominant focus as the trigger switching on the whole system. The material presented showes the large differentiation of focal constructions in the patients investigated.
1. Bancaud, Author's address: Y. K. A. Acta Neurochirurgica, Suppl. 23, 45-50 (1976) © by Springer-Verlag 1976 Neurosurgical Clinic, University of Milan, Italy Multifocal Epilepsy: Surgical Treatment after Stereo-EEG Study F. Marossero, G. P. Cabrini, G. Ettorre, G. Miserocchi, and L. Ravagnati With 4 Figures The term "multifocal epilepsy" has not been clearly defined. "Multifocal epilepsy" includes all cases of partial epilepsy with multiple independent electrical foci, either unilateral or bilateral (Marossero et al.