Epilepsy surgery.

Abstract:

:Epilepsy surgery is assuming greater importance in treating patients with partial epilepsy whose seizures are uncontrolled with antiepileptic drugs. Many good candidates for surgical treatment are not presented with the option of surgery. The evaluation for epilepsy surgery is extensive and includes several stages of noninvasive and invasive testing. As more sophisticated noninvasive tests develop, fewer patients require invasive monitoring studies such as depth or subdural electrodes. The principal forms of surgical treatment include focal resection, corpus callosotomy, and hemispherectomy. Temporal lobectomy remains the most common and effective form of epilepsy surgery. Frontiers of epilepsy surgery include resective surgery for intractable infantile spasms and multiple subpial transections for patients whose seizure foci are in sensory, motor, or languages cortex. Additional studies are needed to define the safety and efficacy of these new procedures.

journal_name

Neurol Clin

journal_title

Neurologic clinics

authors

Devinsky O,Pacia S

subject

Has Abstract

pub_date

1993-11-01 00:00:00

pages

951-71

issue

4

eissn

0733-8619

issn

1557-9875

journal_volume

11

pub_type

杂志文章,评审
  • Syncope: Case Studies.

    abstract::Syncope, or the sudden loss of consciousness, is a common presenting symptom for evaluation by neurologists. It is not a unique diagnosis but rather a common manifestation of disorders with diverse mechanisms. Loss of consciousness is typically preceded by a prodrome of symptoms and sometimes there is a clear trigger....

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2016.04.002

    authors: Kleyman I,Weimer LH

    更新日期:2016-08-01 00:00:00

  • Pyogenic bacterial infections of the CNS.

    abstract::The etiology of pyogenic infections of the brain and meninges varies principally by age, predisposing causes or conditions, and anatomic site of the infection. An appreciation of these factors, plus the prudent use of noninvasive anatomic diagnostic techniques (such as CT) and examination of the CSF, will provide a ba...

    journal_title:Neurologic clinics

    pub_type: 杂志文章

    doi:

    authors: Overturf GD

    更新日期:1986-02-01 00:00:00

  • Encephalitis.

    abstract::Encephalitis is an acute infection of brain parenchyma characterized clinically by fever, headache, and an altered level of consciousness. There may also be focal or multifocal neurologic deficits, and focal or generalized seizure activity. This article discusses the clinical presentation, diagnosis, and treatment of ...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8619(05)70168-7

    authors: Roos KL

    更新日期:1999-11-01 00:00:00

  • Pseudotumor cerebri.

    abstract::Pseudotumor cerebri is a perplexing syndrome of increased intra-cranial pressure without a space-occupying lesion. The terminology for the disorder has changed over the years and the diagnostic criteria revised to reflect advances in diagnostic technology and insights into the disease process. The classification and n...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/S0733-8619(03)00096-3

    authors: Friedman DI

    更新日期:2004-02-01 00:00:00

  • The endocrinology of anorexia nervosa and bulimia nervosa.

    abstract::Considerable evidence exists of hypothalamic dysfunction in patients with anorexia nervosa and bulimia nervosa. This dysfunction is reflected in disturbances of endocrine function including abnormalities of gonadotropin, growth hormone, and corticotropin-releasing hormone secretion. Whereas these disturbances are gene...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Newman MM,Halmi KA

    更新日期:1988-02-01 00:00:00

  • Cardiogenic syncope. Seizure versus syncope.

    abstract::Our recommendations for the evaluation of the patient with suspected cardiogenic syncope are as follows: An initial thorough history and physical examination of the patient will suggest the diagnosis of cardiogenic syncope in at least 50 per cent of patients. A sudden occurrence of syncope, or "drop attack", is most s...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Dohrmann ML,Cheitlin MD

    更新日期:1986-08-01 00:00:00

  • Disorders of glycogen metabolism of muscle.

    abstract::Glycogen is a crucial source of energy in the initial stages of muscle activity and during exercise of high intensity. There are 10 well-defined biochemical defects of glycogen metabolism expressed in muscle and affecting the following enzymes: alpha 1,4 glucosidase (glycogenesis type II), debrancher enzyme (III), bra...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Servidei S,DiMauro S

    更新日期:1989-02-01 00:00:00

  • Nature and Action of Antibodies in Myasthenia Gravis.

    abstract::This article discusses antibodies associated with immune-mediated myasthenia gravis and the pathologic action of these antibodies at the neuromuscular junctions of skeletal muscle. To explain how these antibodies act, we consider the physiology of neuromuscular transmission with emphasis on 4 features: the structure o...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2018.01.001

    authors: Ruff RL,Lisak RP

    更新日期:2018-05-01 00:00:00

  • Clinical neurogenetics: autosomal dominant spinocerebellar ataxia.

    abstract::The autosomal dominant spinocerebellar ataxias are a diverse and clinically heterogeneous group of disorders characterized by degeneration and dysfunction of the cerebellum and its associated pathways. Clinical and diagnostic evaluation can be challenging because of phenotypic overlap among causes, and a stratified an...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2013.04.006

    authors: Shakkottai VG,Fogel BL

    更新日期:2013-11-01 00:00:00

  • Phantom limb pain and related disorders.

    abstract::Postamputation phenomena, including painful and nonpainful phantom sensations occur following loss of limbs and other body parts. Peripheral and central nervous system mechanisms play a role in persistent phantom pain. Understanding the pathophysiology of this syndrome has improved in recent years. Comprehensive evalu...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8619(05)70105-5

    authors: Weinstein SM

    更新日期:1998-11-01 00:00:00

  • The Dilemma of the Clinical Trialist in Amyotrophic Lateral Sclerosis: The Hurdles to Finding a Cure.

    abstract::Amyotrophic lateral sclerosis can be described as a disease with a poorly understood pathophysiologic mechanism and no treatment that dramatically impacts the course of the disease. Clinical trialists are faced with finding small treatment effects against a background of multiple potential treatments, a past history o...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2015.07.014

    authors: Katz JS,Barohn RJ,Dimachkie MM,Mitsumoto H

    更新日期:2015-11-01 00:00:00

  • Clinical features of myasthenia gravis.

    abstract::Myasthenia gravis (MG) is an antibody-mediated muscle disease in which any skeletal muscle can be affected. MG may produce numerous symptoms and signs. To doctors and patients, it may seem like lung disease, stroke, heart disease, or the effects of emotional stress. This article explores the "territory" between MG and...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Hopkins LC

    更新日期:1994-05-01 00:00:00

  • Low-grade gliomas.

    abstract::Supratentorial low-grade gliomas comprise a group of primary central nervous system neoplasms with characteristics of neuroglial cells (i.e., astrocytes and oligodendrocytes) and relatively low anaplastic potential, although through time they tend to behave more aggressively. Immediate surgical intervention and subseq...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Recht LD,Bernstein M

    更新日期:1995-11-01 00:00:00

  • Communication skills in palliative care: a practical guide.

    abstract::Communication skills are frequently regarded as innate and intuitive. Many studies, however, now show that most components of communication techniques can be taught and that these learned skills have an impact on the physician's ability to communicate. This article sets out two fundamental protocols that act as templa...

    journal_title:Neurologic clinics

    pub_type: 杂志文章

    doi:10.1016/s0733-8619(05)70057-8

    authors: Buckman R

    更新日期:2001-11-01 00:00:00

  • Fungal infections of the CNS.

    abstract::Most CNS fungal infections can be divided into those that occur in normal hosts and those that occur in the immunosuppressed host. Cryptococcal infection, however, is common in both groups. The usual clinical presentation of a CNS fungal infection is chronic headache and mental status change. The CSF shows a lymphocyt...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Lyons RW,Andriole VT

    更新日期:1986-02-01 00:00:00

  • Neurologic manifestations of vasculitis.

    abstract::The vasculitides are a heterogeneous group of disorders that cause blood vessel inflammation and necrosis. Vasculitis may represent a primary disease process or a secondary manifestation of an underlying systemic condition. Neurologic symptoms and signs are common in most of the vasculitic syndromes and may be the pre...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Kissel JT

    更新日期:1989-08-01 00:00:00

  • Traumatic injury to the posterior fossa.

    abstract::Traumatic injury to the posterior fossa is a complex pathologic condition because of the great heterogeneity of lesions present. Treatment of primary brain injuries and prevention of secondary brain injuries is the mainstay of management. It is imperative to recognize traumatic lesions of the posterior fossa early bec...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2014.07.010

    authors: Nixon M,Ambekar S,Zhang S,Markham C,Akbarian-Tefaghi H,Morrow K,Nanda A,Guthikonda B

    更新日期:2014-11-01 00:00:00

  • Noninvasive diagnosis of carotid disease in the era of digital subtraction angiography.

    abstract::The author discusses the noninvasive tests and their roles relative to intravenous digital subtraction angiography in the assessment of patients with carotid disease. ...

    journal_title:Neurologic clinics

    pub_type: 杂志文章

    doi:

    authors: Ackerman RH

    更新日期:1983-02-01 00:00:00

  • Muscular dystrophy overview: genetics and diagnosis.

    abstract::A specific genetic diagnosis can be reached for most children with muscular dystrophy. Advanced diagnostics, including genetic testing and analysis of nonmuscle tissues, such as skin and blood, often allow the diagnosis to be reached using minimally invasive procedures. These diagnostic advances accompany improved und...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8619(03)00065-3

    authors: Mathews KD

    更新日期:2003-11-01 00:00:00

  • Cerebrovascular complications in cancer patients.

    abstract::The clinician should be alert to the possibility of cerebrovascular disease in cancer patients who develop signs of diffuse or focal cerebral dysfunction. The cause of cerebrovascular disease can usually be determined by knowing the primary tumor type, extent of metastatic disease, and type of antineoplastic treatment...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Rogers LR

    更新日期:1991-11-01 00:00:00

  • Viral Encephalitis.

    abstract::Viruses are a frequent cause of encephalitis. Common or important viruses causing encephalitis include herpesviruses, arboviruses, enteroviruses, parechoviruses, mumps, measles, rabies, Ebola, lymphocytic choriomeningitis virus, and henipaviruses. Other viruses may cause an encephalopathy. Host factors and clinical fe...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2018.07.001

    authors: Venkatesan A,Murphy OC

    更新日期:2018-11-01 00:00:00

  • Wegener's granulomatosis and ANCA syndromes.

    abstract::The nervous system is involved in approximately 25% of patients with classical Wegener's granulomatosis. The spectrum of this disease has been broadened with the discovery of the anti-neutrophil cytoplasmic antibodies, which are found in diseases sharing many clinical features. The ANCA testing may indicate a common m...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8619(05)70353-4

    authors: Jaffe IA

    更新日期:1997-11-01 00:00:00

  • Neuromuscular fatigue in racquet sports.

    abstract::This article describes the physiologic and neural mechanisms that cause neuromuscular fatigue in racquet sports: table tennis, tennis, squash, and badminton. In these intermittent and dual activities, performance may be limited as a match progresses because of a reduced central activation, linked to changes in neurotr...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2007.11.011

    authors: Girard O,Millet GP

    更新日期:2008-02-01 00:00:00

  • Update in the Management of Idiopathic Intracranial Hypertension.

    abstract::Idiopathic intracranial hypertension is a syndrome of increased intracranial pressure of unknown cause that most often occurs in women of childbearing age. Most patients are overweight or obese with a history of recent weight gain. Following a brief review of the symptoms and signs, we discuss the approach to assessme...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2020.09.008

    authors: Thurtell MJ,Kawasaki A

    更新日期:2021-02-01 00:00:00

  • Toxic myopathies.

    abstract::Toxic myopathies may occur with a variety of prescribed medications, illicit drug abuse, or other toxins. The article discusses an overview of some of the compounds that may cause myopathy, the clinical and laboratory features, histology, mechanisms of action, and potential risk factors of myopathy. The ability to rec...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8619(05)70341-8

    authors: George KK,Pourmand R

    更新日期:1997-08-01 00:00:00

  • The electrodiagnostic approach to carpal tunnel syndrome.

    abstract::CTS is a clinically defined syndrome; however, there is value added by an evidence-based electrodiagnostic approach to (1) efficiently confirm the diagnosis (particularly before invasive interventions), (2) to identify neurogenic mimickers or superimposed processes that may influence the response to treatment, and (3)...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2011.12.001

    authors: Watson JC

    更新日期:2012-05-01 00:00:00

  • Oromandibular disorders and headache. A critical appraisal.

    abstract::Oromandibular disorders are functional disorders and associated pains in the anatomic region of the temporomandibular joint. Their diagnosis and treatment are controversial because of the lack of conformity concerning these disorders among health care providers. This article provides a clear classification of these di...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Graff-Radford SB

    更新日期:1990-11-01 00:00:00

  • Headache epidemiology. Emphasis on migraine.

    abstract::Through the use of IHS criteria, large population-based epidemiologic studies in Denmark, the United States, France, Canada, and elsewhere have shed light on the descriptive epidemiology of migraine. Although migraine is a remarkably common cause of temporary disability, many migraineurs, even those with disabling hea...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8619(05)70265-6

    authors: Silberstein SD,Lipton RB

    更新日期:1996-05-01 00:00:00

  • Tension-type headache.

    abstract::The substantial societal and individual burdens associated with tension-type headache (TTH) constitute a previously overlooked major public health issue. TTH is prevalent, affecting up to 78% of the general population, and 3% suffer from chronic TTH. Pericranial myofascial nociception probably is important for the pat...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2008.11.010

    authors: Bendtsen L,Jensen R

    更新日期:2009-05-01 00:00:00

  • Neurologic manifestations of gastrointestinal disease.

    abstract::The neurologic manifestations of gastrointestinal disease are generally thought to be uncommon, although an increasing number of previously unidentified associations are being established. These neurologic disorders may result from nutritional or non-nutritional causes. In the absence of clear malnutrition, it is like...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Albers JW,Nostrant TT,Riggs JE

    更新日期:1989-08-01 00:00:00