Download Advances in Stereotactic and Functional Neurosurgery 4: by Gábor Szikla (auth.), F. John Gillingham, Jan Gybels, Edward PDF

By Gábor Szikla (auth.), F. John Gillingham, Jan Gybels, Edward Hitchcock, Gian Franco Rossi, Gábor Szikla (eds.)

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Extra resources for Advances in Stereotactic and Functional Neurosurgery 4: Proceedings of the 4th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Paris 1979

Sample text

The neuroradiologic assessment shows in 68% of the cases more or less important abnormalities. However, correlated to the location of the epileptogenic area defined by stereo-EEG and to the surgical procedure, these anomalies are directly related to both of these data in only 47 0 /0 of the cases. Thus, lesion and epilepsy cannot be confused. Our population is composed of patients with lesions of the central nervous system. The surgeon's report, stereo-EEG exploration, anatomopathologic investigations respectively show actual lesions in 91 % of the cases.

In other words, prior to the surgical procedure, the possible consequences for the patient should be clearly defined. In this particular case, the operation necessarily implies a risk, which should obviously be controlled as far as possible so as not to inflict a neurological deficit, which would prove particularly distressing if seizures persist after the procedure. B. Cortical Removal The patient is placed on the operating table in an orthogonal position, thus facilitating comparison to the orthogonal radiographs which are undistorted and of approximately natural size.

6% of cases. 1% has been analyzed in detail.

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