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The Effect of Medial Amygdalotomy and Anterior Hippocampotomy on Behavior and Seizures in Epileptic Patients

  • Conference paper
Advances in Stereotactic and Functional Neurosurgery 4

Part of the book series: Acta Neurochirurgica Supplementum ((STEREOTACTIC,volume 30))

Summary

In 70 patients with epilepsy and severe behavioural disturbances with EEG changes in the temporal regions, we performed EEG investigations of deep temporal structures, temporal cortex and scalp, using Talairach’s stereotactic apparatus. Taking into account the recorded changes we performed 115 stereotactic lesions on the medial amygdala (both unilaterally and bilaterally) and on the anterior hippocampus (coirnu Ammonis). The results in epileptic processes were: total recovery in 11.4%, evident clinical improvement in 74.3% and no improvement in 14.3%. Similar results were obtained in behavioural disturbances. Bilateral amygdalotomy and unilateral hippocampotomy in selected cases may produce recovery or amelioration and make possible return to normal social life for epileptic patients with severe behavioural changes.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Polish Academy of Sciences, 16 Barska str., 02-325, Warsaw, Poland

    E. Mempel

Authors
  1. E. Mempel
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  2. B. Witkiewicz
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  3. R. Stadnicki
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  4. E. Łuczywek
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  5. L. Kuciński
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  6. G. Pawłowski
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  7. J. Nowak
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Editor information

Editors and Affiliations

  1. Western General Hospital and Royal Infirmary, University of Edinburgh, Edinburgh, UK

    F. John Gillingham (Professor of Neurosurgery) (Professor of Neurosurgery)

  2. Academisch Ziekenhuis, Leuven, Belgium

    Jan Gybels (Professor of Neurosurgery) (Professor of Neurosurgery)

  3. Midland Center for Neurosurgery and Neurology and Queen Elizabeth Hospital, University of Birmingham, Birmingham, UK

    Edward Hitchcock (Professor of Neurosurgery) (Professor of Neurosurgery)

  4. Istituto di Neurochirurgia, Università Cattolica del Sacro Cuore, Roma, Italy

    Gian Franco Rossi (Professor of Neurosurgery) (Professor of Neurosurgery)

  5. Service de Neurochirurgie Fonctionnelle, Centre Hospitalier Sainte Anne, Paris, France

    Gábor Szikla (Maître de Recherche C.N.R.S., Neurosurgeon) (Maître de Recherche C.N.R.S., Neurosurgeon)

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© 1980 Springer-Verlag

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Mempel, E. et al. (1980). The Effect of Medial Amygdalotomy and Anterior Hippocampotomy on Behavior and Seizures in Epileptic Patients. In: Gillingham, F.J., Gybels, J., Hitchcock, E., Rossi, G.F., Szikla, G. (eds) Advances in Stereotactic and Functional Neurosurgery 4. Acta Neurochirurgica Supplementum, vol 30. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8592-6_20

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  • DOI: https://doi.org/10.1007/978-3-7091-8592-6_20

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-81591-5

  • Online ISBN: 978-3-7091-8592-6

  • eBook Packages: Springer Book Archive

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