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相关概念视频

Psychosurgery01:30

Psychosurgery

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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
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相关实验视频

Updated: Jan 12, 2026

Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study
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切骨术结果:一个元分析.

David Blihar1, Joshua Assi2, Luke Breininger3

  • 1Northeast Ohio Medical University (NEOMED), Rootstown, Ohio, USA; St. George's University (SGU), Grenada, West Indies; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York, USA; Departments of Neurosurgery and Neurology, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA; Windward Islands Research and Education Foundation (WINDREF), SGU, St. George, Grenada.

World neurosurgery
|November 5, 2025
PubMed
概括
此摘要是机器生成的。

身体切术的方法为儿科提供了类似的发作减少. 与前部 (ACC) 或总体 (TCC) 程序相比,后部体切除术 (PCC) 可能提供更好的落下攻击控制和较低的断开综合征 (DCS) 风险.

关键词:
尸体形切除术 (Callosotomy) 是一个体形切除术.是一种病.神经外科 神经外科儿科 儿科 儿科

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Microvascular Decompression: Salient Surgical Principles and Technical Nuances
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科学领域:

  • 神经外科 神经外科
  • 儿科神经学 儿科神经学
  • 发病学 (Epileptology) 是一个专业的学科.

背景情况:

  • 体切除术是治疗难治的儿科的缓解性手术.
  • 关于前部 (ACC),后部 (PCC) 和总体 (TCC) 体切除术的疗效和并发症的比较数据有限.

研究的目的:

  • 为了评估和比较儿童难治性发作中的ACC,PCC和TCC的发作减少和术后并发症.

主要方法:

  • 按照PRISMA指南进行的66项研究 (1349名患者) 的系统综述.
  • 对发作减少 (恩格尔/ILAE分类,发作频率得分) 和并发症 (断电综合征[DCS],水头,死亡率) 的元分析.
  • 随机效应的元分析和ACC,PCC和TCC之间的子组比较.

主要成果:

  • 在ACC,PCC和TCC之间,整体发作减少没有显著差异 (恩格尔得分0或1).
  • 与ACC (52%) 和TCC (58%) 相比,PCC表现出降落攻击 (92%) 的优异降低.
  • 在PCC中,DCS发病率最低 (0%),其次是ACC (9%) 和TCC (20%). 在所有方法中,脑水和死亡率都非常低.

结论:

  • 所有体切除术技术都有效地减少了儿科难治性的发作.
  • 后体结肠切除术 (PCC) 可能是降落攻击控制的首选方法,并且具有较低的脱节综合征 (DCS) 风险.
  • 整体体切除术 (TCC) 与最高的DCS发病率有关,强调需要标准化报告以澄清并发症变异.