By Prof. Dr. med. Heinz Grefor Wieser (auth.), B. Sutter, O. Schröttner (eds.)
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Additional info for Advances in Epilepsy Surgery and Radiosurgery
The techniques differ in a way that they aim at preventing superficial cerebral hemosiderosis. Recently, a new technique has been described which aims at disconnecting the whole hemisphere using a transsylvian-transventricular approach, thus avoiding brain resection . It has been shown that this technique provides essential advantages over conventional methods by significantly shortening the operation time and reducing the blood loss (Fig. 5). 32 J. Zentner Fig. 5. Schematic representation of variants offunctional hemispherectomy Alternative Surgical Techniques Alternative surgical techniques include deep brain stimulation, vagal nerve stimulation, stereotactic amygdalotomy and multiple subpial transections.
Epilepsia 38: 168174 6. Boon P, D'Have M, Van HG, Vanrurnste B, Vonck K, Adam C, Vandekerckhove T, Michielsen G, Baulac M, De RJ (1999) Source localization in refractory partial epilepsy. Rev ~eurol (Paris) 155: 499-508 7. Boon P, D'Have M, Vandekerckhove T, Achten E, Adam C, Clemenceau S, Baulac M, Goossens L, Calliauw L, De RJ (1997) Dipole modelling and intracranial EEG recording: correlation between dipole and ictal onset zone. Acta ~eurochir (Wien) 139: 643-652 8. Carpentier A, Pugh KR, Westerveld M, Studholme C, Skrinjar 0, Thompson JL, Spencer DD, Constable RT (2001) Functional MRI oflanguage processing: dependence on input modality and temporal lobe epilepsy.
Epilepsia 42: 21-28 20. Dupont S, Semah F, Boon P, Saint-Hilaire JM, Adam C, Broglin D, Baulac M (1999) Association of ipsilateral motor automatisms and contralateral dystonic posturing: a clinical feature differentiating medial from neocortical temporal lobe epilepsy. Arch Neurol56: 927-932 21. Eberhardt KE, Stefan H, Buchfe1der M, Pauli E, Hopp P, Huk W, Tomandl BF (2000) The significance of bilateral CSI changes for the postoperative outcome in temporal lobe epilepsy. J Comput Assist Tomogr 24: 919-926 22.
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