Zygomatic Osteotomy for Resection of Medial Temporal Cavernous Angioma in Dominant Hemisphere after Subdural Grid Electroencephalographic Study
この文献の参照には次のURLをご利用ください : https://ir.lib.hiroshima-u.ac.jp/00034925
ID | 34925 |
本文ファイル | |
著者 |
Hanaya, Ryosuke
Arita, Kazunori
Itoh, Yoko
Iida, Koji
|
キーワード | Intractable temporal lobe epilepsy
Cavernous angioma
Zygomatic osteotomy
Intracranial recording
|
NDC |
医学
|
抄録(英) | We report the treatment of a patient suffering from intractable epilepsy caused by a large cavernous angioma in the hippocampus of his dominant hemisphere. Surgical removal of a lesion and epileptic focus located in the surrounding brain tissue significantly improves seizure conditions. However, total removal of a large cavernous angioma in the medial temporal structure of dominant hemisphere is occasionally difficult because of the depth of the lesion and its contiguity with eloquent brain structures. Furthermore, when an intracranial electrocorticogram with grid electrodes is adopted, swelling of soft tissue caused by the initial operation for the installation of the grid electrodes narrows the operative view obtained by conventional frontotemporal craniotomy. We added a zygomatic osteotomy to the operative procedure for the present patient, and this enabled us to push soft tissue down and away from the operative field to provide a wider operative corridor through which total removal of the lesion and epileptic focus was accomplished. The patient has had a favorable postoperative course without suffering any seizure for 4 years.
|
掲載誌名 |
Hiroshima Journal of Medical Sciences
|
巻 | 55巻
|
号 | 1号
|
開始ページ | 39
|
終了ページ | 43
|
出版年月日 | 2006-03
|
出版者 | Hiroshima University Medical Press
|
ISSN | 0018-2052
|
NCID | |
言語 |
英語
|
NII資源タイプ |
紀要論文
|
広大資料タイプ |
学内刊行物(紀要等)
|
DCMIタイプ | text
|
フォーマット | application/pdf
|
著者版フラグ | publisher
|
権利情報 | (c) Hiroshima University Medical Press.
|
部局名 |
病院
医歯薬学総合研究科
|
他の一覧 |