Abstract:
SUMMARY:Stereotactic radiofrequency amygdalohippocampectomy (AHE) has been reintroduced as an alternative treatment of mesial temporal lobe epilepsy. The aim of this study was to describe MRI changes after stereotactic AHE and to correlate the hippocampal and amygdalar volumes reduction with the clinical seizure outcome. Eighteen patients after stereotactic AHE were included. Volumetry was calculated from pre-operative MRI and from MRI obtained 1 year after the operation. The clinical outcome was examined 1 and 2 years after the treatment. Hippocampal volume decreased by 54+/-19%, and amygdalar volume decreased by 49+/-18%. One year after the procedure, 13 (72%) patients were classified as Engel's Class I (9 as Class IA), 4 (22%) patients as Class II and 1 (6%) patient as Class III. Two years after the operation, 14 patients (82%) were classified as Class I (7 as Class IA) and 3 patients (18%) as Class II. We found 3 surgical complications after the procedure: one small subdural hematoma, and twice a small electrode tip left in operation field (these patients were excluded from the study). In 3 patients, temporary meningeal syndrome developed. Results of radiofrequency AHE are promising. The volume reduction of target structures after AHE is significantly related to the clinical outcome.
journal_name
Epilepsy Resjournal_title
Epilepsy researchauthors
Malikova H,Vojtech Z,Liscak R,Prochazka T,Vymazal J,Vladyka V,Keller J,Kalina Mdoi
10.1016/j.eplepsyres.2008.11.013subject
Has Abstractpub_date
2009-02-01 00:00:00pages
235-42issue
2-3eissn
0920-1211issn
1872-6844pii
S0920-1211(08)00354-9journal_volume
83pub_type
临床试验,杂志文章abstract::Prevention of epileptogenesis after brain insults, such as status epilepticus (SE), head trauma, or stroke, remains a challenge. Even if epilepsy cannot be prevented, it would be beneficial if the pathologic process could be modified to result in a less severe disease. We examined whether early discontinuation of SE r...
journal_title:Epilepsy research
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更新日期:2005-01-01 00:00:00
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journal_title:Epilepsy research
pub_type: 临床试验,杂志文章
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更新日期:2002-12-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
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journal_title:Epilepsy research
pub_type: 杂志文章,多中心研究
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更新日期:2009-02-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
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更新日期:2018-09-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
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journal_title:Epilepsy research
pub_type: 杂志文章
doi:10.1016/j.eplepsyres.2004.08.002
更新日期:2004-11-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
doi:10.1016/j.eplepsyres.2009.08.001
更新日期:2009-12-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
doi:10.1016/j.eplepsyres.2013.06.018
更新日期:2013-10-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章,meta分析,评审
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更新日期:2012-02-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章,评审
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更新日期:2015-08-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
doi:10.1016/j.eplepsyres.2005.05.008
更新日期:2005-07-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
doi:10.1016/s0920-1211(00)00116-9
更新日期:2000-07-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
doi:10.1016/s0920-1211(99)00096-0
更新日期:2000-03-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
doi:10.1016/j.eplepsyres.2014.09.008
更新日期:2014-12-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
doi:10.1016/j.eplepsyres.2009.03.001
更新日期:2009-08-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
doi:10.1016/0920-1211(87)90060-x
更新日期:1987-11-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
doi:10.1016/j.eplepsyres.2010.05.001
更新日期:2010-08-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
doi:10.1016/j.eplepsyres.2012.04.005
更新日期:2012-09-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
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更新日期:2017-09-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
doi:10.1016/s0920-1211(00)00208-4
更新日期:2001-03-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
doi:10.1016/j.eplepsyres.2012.04.016
更新日期:2012-11-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
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更新日期:2000-04-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
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更新日期:2014-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:1994-06-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章
doi:10.1016/j.eplepsyres.2005.09.006
更新日期:2005-12-01 00:00:00
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journal_title:Epilepsy research
pub_type: 杂志文章,评审
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更新日期:2005-08-01 00:00:00
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pub_type: 杂志文章
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