METHOD OF SURGICAL ACCESS TO STRUCTURES posteromedial temporal lobe of the treatment of epilepsy

摘要

1. A method for surgical access to the posteromedial structures of the temporal lobe in the treatment of epilepsy, comprising resection anterolateral temporal region sections at 4.5 cm from the poles otlichayuschiysyatem that, in order to reduce the traumatic effects on brain tissue during surgery access structure to be removal is carried out by a combination pterional and zigomaticheskogo accesses and arachnoid dissection shell in the lateral (Sylvian) gap for subsequent temporal lobe resection poles simultaneously with th control state vessels in the area, and when accessing the posterior hippocampus departments use a moderate compression of the brain tissue in the area of ​​the temporal lobe in the lateral direction, thereby precluding impact on subcortical struktury.2. A method according to claim 1, characterized in that during the operation carried out continuously or batchwise control electrocorticogram registration with the basal surface of the temporal lobe, including the medial portions, and the hippocampus and parahippocampal gyrus removal to produce termination of epileptic activity in mediobasal departments.