Neurological Surgery 脳神経外科51巻1号

2023年01月発行

特集 脳神経外科医が知っておきたい—てんかんのすべて Ⅳ 脳神経外科医が知っておきたいてんかん治療

内側側頭葉てんかんに対する外科治療—手術に必要となる解剖学的理解を中心に

著者： 宇田武弘¹² 國廣誉世² 田上雄大¹ 児嶌悠一郎¹ 川嶋俊幸¹ 馬場良子² 宇田裕史¹ 高沙野¹ 後藤剛夫¹

所属機関： ¹大阪公立大学大学院医学研究科脳神経外科 ²大阪市立総合医療センター小児脳神経外科

ページ範囲：P.105 - P.114

Point
・内側側頭葉てんかんに対する海馬扁桃体摘出術は有効な外科治療である．
・手術アプローチには前側頭葉切除，経シルビウス裂到達法，経皮質到達法などが用いられる．
・海馬硬化がなく記銘力が保たれている優位側例では海馬多切術も有効である．

参考文献

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