| 篇名 |
Multiple Subpial Transection: Report of A Case |
| 作者 |
Peng-Wei Hsu, Chen-Nen Chang, Tony Wu, Chee-Ching Hsu |
| 卷期/出版年月 |
37卷6期 (2004/12) |
| 頁次 |
281-284 |
| 摘要 |
Multiple subpial transection (MST) is a surgical technique designed for use in
patients whose epileptic foci are located in high functional cortical areas such as the
primary sensorimotor cortex and the language cortex. Theoretically, MST disrupts
horizontal neuronal interconnections that are essential to the spreading of seizure,
while preserving the intrinsic columnar organization of the brain. MST thus interrupts
the synchronization of epileptic neurons while sparing input, output and vascular
supply. This report describes the case of a 23-year-old woman with seizure
disorder that lasted for 17 years. The epileptic foci located in the motor cortex were
noted following chronic subdural plate electrocorticographic (ECoG) recording.
MST was performed and the patient exhibited a Class II surgical outcome. This
new surgical technique for treating medical intractable epilepsy will be discussed. |
| 關鍵詞 |
epilepsy surgery, cortical resection, cortical stimulation, multiple subpial transection |
| 分類 |
Case Report |
