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>Revistas >Gaceta Médica de México >Año 2013, No. 2


Velasco MAL, Aguado CG, Sandoval OL, Vázquez BD
Valor pronóstico de los registros intracraneales en la lobectomía temporal anterior con hipocampectomía
Gac Med Mex 2013; 149 (2)

Idioma: Español
Referencias bibliográficas: 38
Paginas: 143-151
Archivo PDF: 853.27 Kb.


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RESUMEN

En este trabajo se expone la experiencia obtenida en la Clínica de Epilepsia del Hospital General de México en el uso de electrodos intracraneales para determinar el tejido a resecar en la lobectomía temporal anterior con amigdalohipocampectomía en pacientes portadores de epilepsia del lóbulo temporal mesial con crisis refractarias a fármacos antiepilépticos. Hago un análisis de los datos obtenidos mediante el registro electroencefalográfico invasivo para conocer su impacto en el resultado posquirúrgico inmediato y a largo plazo (hasta 17 años) de la lobectomía temporal en cuanto a la reducción de crisis y las complicaciones quirúrgicas. Se incluyeron 57 pacientes implantados entre los años 1993-2008. De ellos, 48 pacientes (84%) quedaron libres de crisis sin necesidad de medicación antiepiléptica en el primer año posterior a la lobectomía. Cinco pacientes (12%) tuvieron recurrencia después de 5 años de haber sido operados. No hubo complicaciones serias por el uso de electrodos intracraneales per se y las secuelas neurológicas fueron mínimas después de la lobectomía en un paciente. Se concluye que el uso de electrodos intracraneales es efectivo y seguro, contribuyendo a un buen pronóstico posquirúrgico a largo plazo en aquellos pacientes que, de otra forma, hubieran sido excluidos de la posibilidad quirúrgica.


Palabras clave: Epilepsia refractaria, Electrodos intracraneales, Lobectomía temporal.


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>Revistas >Gaceta Médica de México >Año2013, No. 2
 

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