FIELD: medicine.
SUBSTANCE: craniotomy in the frontotemporal area and dissection of the dura mater are carried out. Then anterior to the vein of Labbe, parallel to its lower edge on conventical surface of temporal lobe, pia mater is coagulated and dissected during 35-40 mm. Parallel to the plane of skull base, the vessels, cortex and white matter are gradually coagulated and dissected, the temporal horn of lateral ventricle is opened. The brain matter of the basal wall of lateral ventricle is dissected to the pia mater. At the same time, vessels that feed isolated sections of the temporal lobe are retained. Method provides the destruction of formed epileptic system, while preserving the anatomy of brain, allowing to reduce risk of perioperative and post-operative complications, post-operative neurological deficit and mental disorders, surgical injury.
EFFECT: preserving viability of isolated temporal lobe in the structure of homeostatic system of subependymitis hippocampal stem cells system, their neurotrophic adaptive-compensatory action, warning the augment of atrophy and gliosis of brain.
2 ex
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Authors
Dates
2017-12-07—Published
2016-09-16—Filed