医用技術の進歩に伴う近年のてんかん外科治療  [in Japanese] An Overview of Recent Operative Interventions for Epilepsy Syndromes applying Evolving Medical Engineering Technologies  [in Japanese]

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Abstract

 ペンフィールドのhomunculusが報告されてから機能的脳局在を重視した脳神経外科手術が進歩してきた. てんかん外科においては発作の減少と術後神経機能脱落の回避を目的に, 従来の脳表電極・硬膜下電極によるてんかん原生域同定に加え, 医用技術進歩により種々の非侵襲的・補助的診断機器, 覚醒下手術などが積極的に導入されてきたが, これらは単にてんかんに留まらず, glioma手術を含めた脳神経外科手術の根幹をなすものと思われる. 同時にてんかん関連・皮質機能関連ネットワークの解明にも利用され, 新たな大脳皮質機能地図が明らかになりつつある. <br> この稿では医用技術進歩に伴う検査と侵襲的・非侵襲的治療法に焦点をあて, 概説を試みた.

  Over the last four decades, neurosurgical operating techniques have greatly improved with the advent of the operation microscope and the drastic evolution of medical engineering technologies. In the field of epilepsy treatment where, even though electrophysiological monitoring through scalp EEG and/or chronic subdural electrodes is still considered the gold standard, various types of newly developed non-invasive monitoring apparatus, techniques and surgical intervention are enabling us to better understand the epilepsy phenomenon through a more detailed etiology while achieving better prognoses as well. In this article, we review the current status of surgical intervention for epilepsy syndromes with special reference to the ongoing evolution of medical engineering technologies.

Journal

  • Japanese Journal of Neurosurgery

    Japanese Journal of Neurosurgery 25(2), 112-127, 2016

    The Japanese Congress of Neurological Surgeons

Codes

  • NII Article ID (NAID)
    130005127604
  • Text Lang
    JPN
  • ISSN
    0917-950X
  • Data Source
    J-STAGE 
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