颞叶显微外科解剖及其对颞叶癫痫手术的意义。

Epilepsy research and treatment Pub Date : 2012-01-01 Epub Date: 2012-05-21 DOI:10.1155/2012/769825
Baris Kucukyuruk, R Mark Richardson, Hung Tzu Wen, Juan Carlos Fernandez-Miranda, Albert L Rhoton
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引用次数: 51

摘要

目标。我们回顾了与颞叶癫痫有关的颞叶的神经解剖学方面。神经元、心室和血管结构均可见。方法。回顾了资深作者实验室以前发表的文章。结果。颞叶有四个表面。内侧表面具有复杂的显微解剖结构,显示与脑室内结构(如杏仁核或海马)密切相关。颞叶有许多白质束显示与脑室外和脑室内结构有关。根据这些资料,讨论了治疗颞叶癫痫的常用手术方法。结论。为了获得更好的结果,对颞叶皮层、皮层下和脑室内结构的显微解剖学有深入的了解是必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Microsurgical anatomy of the temporal lobe and its implications on temporal lobe epilepsy surgery.

Objective. We review the neuroanatomical aspects of the temporal lobe related to the temporal lobe epilepsy. The neuronal, the ventricular, and the vascular structures are demonstrated. Methods. The previous articles published from the laboratory of the senior author are reviewed. Results. The temporal lobe has four surfaces. The medial surface has a complicated microanatomy showing close relation to the intraventricular structures, such as the amygdala or the hippocampus. There are many white matter bundles in the temporal lobe showing relation to the extra- and intraventricular structures. The surgical approaches commonly performed to treat temporal lobe epilepsy are discussed under the light of these data. Conclusion. A thorough knowledge of the microanatomy is necessary in cortical, subcortical, and intraventricular structures of the temporal lobe to achieve better results.

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