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Pesquisa : E04.525.600 [Categoria DeCS]
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  1 / 2024 MEDLINE  
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[PMID]:28386923
[Au] Autor:Smyth MD; Vellimana AK; Asano E; Sood S
[Ad] Endereço:Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri, U.S.A.
[Ti] Título:Corpus callosotomy-Open and endoscopic surgical techniques.
[So] Source:Epilepsia;58 Suppl 1:73-79, 2017 Apr.
[Is] ISSN:1528-1167
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Corpus callosotomy is a palliative surgical procedure for patients with refractory epilepsy. It can be performed through an open approach via a standard craniotomy and the aid of an operating microscope, or alternatively via a mini-craniotomy with endoscope assistance. The extent of callosal disconnection performed varies according to indications and surgeon preference. In this article, we describe both open and endoscopic surgical techniques for anterior and complete corpus callosotomy.
[Mh] Termos MeSH primário: Corpo Caloso/cirurgia
Epilepsia Resistente a Medicamentos/cirurgia
Endoscopia/métodos
Psicocirurgia/métodos
[Mh] Termos MeSH secundário: Criança
Craniotomia/instrumentação
Craniotomia/métodos
Eletroencefalografia
Endoscopia/instrumentação
Seres Humanos
Masculino
Psicocirurgia/instrumentação
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170622
[Lr] Data última revisão:
170622
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170408
[St] Status:MEDLINE
[do] DOI:10.1111/epi.13681


  2 / 2024 MEDLINE  
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[PMID]:28366896
[Au] Autor:Zajicek B
[Ti] Título:Banning the Soviet Lobotomy: Psychiatry, Ethics, and Professional Politics during Late Stalinism.
[So] Source:Bull Hist Med;91(1):33-61, 2017.
[Is] ISSN:1086-3176
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article examines how lobotomy came to be banned in the Soviet Union in 1950. The author finds that Soviet psychiatrists viewed lobotomy as a treatment of "last resort," and justified its use on the grounds that it helped make patients more manageable in hospitals and allowed some to return to work. Lobotomy was challenged by psychiatrists who saw mental illness as a "whole body" process and believed that injuries caused by lobotomy were therefore more significant than changes to behavior. Between 1947 and 1949, these theoretical and ethical debates within Soviet psychiatry became politicized. Psychiatrists competing for institutional control attacked their rivals' ideas using slogans drawn from Communist Party ideological campaigns. Party authorities intervened in psychiatry in 1949 and 1950, persecuting Jewish psychiatrists and demanding adherence to Ivan Pavlov's theories. Psychiatrists' existing conflict over lobotomy was adopted as part of the party's own campaign against harmful Western influence in Soviet society.
[Mh] Termos MeSH primário: Ética Médica/história
Política
Psiquiatria/história
Psicocirurgia/história
[Mh] Termos MeSH secundário: História do Século XX
Psiquiatria/ética
Psicocirurgia/ética
U.R.S.S.
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170518
[Lr] Data última revisão:
170518
[Sb] Subgrupo de revista:IM; QIS
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE
[do] DOI:10.1353/bhm.2017.0002


  3 / 2024 MEDLINE  
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[PMID]:28220363
[Au] Autor:Byard RW
[Ad] Endereço:The University of Adelaide Medical School, Frome Road, Adelaide, SA, 5005, Australia. roger.byard@sa.gov.au.
[Ti] Título:Frontal lobotomy.
[So] Source:Forensic Sci Med Pathol;13(2):259-264, 2017 Jun.
[Is] ISSN:1556-2891
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Lobo Frontal/cirurgia
Psicocirurgia
[Mh] Termos MeSH secundário: Idoso
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170222
[St] Status:MEDLINE
[do] DOI:10.1007/s12024-017-9846-9


  4 / 2024 MEDLINE  
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[PMID]:28072743
[Au] Autor:Zhang S; Zhou P; Jiang S; Li P; Wang W
[Ad] Endereço:Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
[Ti] Título:Bilateral anterior capsulotomy and amygdalotomy for mental retardation with psychiatric symptoms and aggression: A case report.
[So] Source:Medicine (Baltimore);96(1):e5840, 2017 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Mental retardation (MR) is a chronic condition that often has no readily identifiable cause or treatment. Aggression and psychiatric symptoms are prevalent in children with MR. Surgical treatment of aggression and psychiatric symptoms of MR is seldom investigated and studies are limited. PATIENT CONCERNS: We encountered a 19-year-old female who had MR with aggression and psychiatric symptoms. DIAGNOSES: She was diagnosed with mild MR with aggressiveness and psychiatric symptoms. INTERVENTIONS: Because the patient was refractory to conservative treatment, bilateral anterior capsulotomy and amygdaloid neurosurgery were performed for her psychiatric symptoms and aggression. The benefits and side effects of the surgery were analyzed. OUTCOMES: After surgery, the patient showed significant alleviation of her psychiatric symptoms and aggression with no observed side effects. LESSONS: Bilateral anterior capsulotomy in combination with amygdaloid neurosurgery may resolve both psychiatric and aggressive symptoms. Future investigations of control studies with large patient cohorts are needed.
[Mh] Termos MeSH primário: Agressão
Tonsila do Cerebelo
Deficiência Intelectual
Psicocirurgia/métodos
[Mh] Termos MeSH secundário: Tonsila do Cerebelo/diagnóstico por imagem
Tonsila do Cerebelo/cirurgia
Feminino
Seres Humanos
Deficiência Intelectual/diagnóstico
Deficiência Intelectual/psicologia
Deficiência Intelectual/cirurgia
Imagem por Ressonância Magnética/métodos
Testes Neuropsicológicos
Procedimentos Neurocirúrgicos/métodos
Escalas de Graduação Psiquiátrica
Técnicas Estereotáxicas
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170224
[Lr] Data última revisão:
170224
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170111
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000005840


  5 / 2024 MEDLINE  
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Teixeira, Manoel Jacobsen
Texto completo
[PMID]:27989972
[Au] Autor:Wen HT; Da Róz LM; Rhoton AL; Castro LH; Teixeira MJ
[Ad] Endereço:Division of Neurosurgery, Hospital das Clínicas, College of Medicine, University of São Paulo, Brazil. Electronic address: wenht@uol.com.br.
[Ti] Título:Frontal Lobe Decortication (Frontal Lobectomy with Ventricular Preservation) in Epilepsy-Part 1: Anatomic Landmarks and Surgical Technique.
[So] Source:World Neurosurg;98:347-364, 2017 Feb.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: An extensive frontal resection is a frequently performed neurosurgical procedure, especially for treating brain tumor and refractory epilepsy. However, there is a paucity of reports available regarding its surgical anatomy and technique. OBJECTIVES: We sought to present the anatomic landmarks and surgical technique of the frontal lobe decortication (FLD) in epilepsy. The goals were to maximize the gray matter removal, spare primary and supplementary motor areas, and preserve the frontal horn. MATERIAL AND METHODS: The anatomic study was based on dissections performed in 15 formalin-fixed adult cadaveric heads. The clinical experience with 15 patients is summarized. RESULT: FLD consists of 5 steps: 1) coagulation and section of arterial branches of lateral surface; 2) paramedian subpial resection 3 cm ahead of the precentral sulcus to reach the genu of corpus callosum; 3) resection of gray matter of lateral surface, preserving the frontal horn; 4) removal of gray matter of basal surface preserving olfactory tract; 5) removal of gray matter of the medial surface under the rostrum of corpus callosum. The frontal horn was preserved in all 15 patients; 12 patients (80%) had no complications; 2 patients presented temporary hemiparesis; and 1 Rasmussen syndrome patient developed postoperative fever. The best seizure control was in cases with focal magnetic resonance imaging abnormalities limited to the frontal lobe. CONCLUSION: FLD is an anatomy-based surgical technique for extensive frontal lobe resection. It presents reliable anatomic landmarks, selective gray matter removal, preservation of frontal horn, and low complication rate in our series. It can be an alternative option to the classical frontal lobectomy.
[Mh] Termos MeSH primário: Descorticação Cerebral/métodos
Ventrículos Cerebrais/anatomia & histologia
Epilepsia/cirurgia
Lobo Frontal/anatomia & histologia
Lobo Frontal/cirurgia
Psicocirurgia/métodos
[Mh] Termos MeSH secundário: Adolescente
Descorticação Cerebral/efeitos adversos
Ventrículos Cerebrais/diagnóstico por imagem
Criança
Pré-Escolar
Epilepsia/diagnóstico por imagem
Feminino
Seguimentos
Lobo Frontal/diagnóstico por imagem
Seres Humanos
Lactente
Masculino
Posicionamento do Paciente/métodos
Complicações Pós-Operatórias/diagnóstico por imagem
Complicações Pós-Operatórias/etiologia
Psicocirurgia/efeitos adversos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161220
[St] Status:MEDLINE


  6 / 2024 MEDLINE  
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[PMID]:27885490
[Au] Autor:Shively SB; Edgerton SL; Iacono D; Purohit DP; Qu BX; Haroutunian V; Davis KL; Diaz-Arrastia R; Perl DP
[Ad] Endereço:Department of Pathology, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD, 20814, USA.
[Ti] Título:Localized cortical chronic traumatic encephalopathy pathology after single, severe axonal injury in human brain.
[So] Source:Acta Neuropathol;133(3):353-366, 2017 Mar.
[Is] ISSN:1432-0533
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Chronic traumatic encephalopathy (CTE) is a neurodegenerative disease associated with repetitive mild impact traumatic brain injury from contact sports. Recently, a consensus panel defined the pathognomonic lesion for CTE as accumulations of abnormally hyperphosphorylated tau (p-tau) in neurons (neurofibrillary tangles), astrocytes and cell processes distributed around small blood vessels at sulcal depths in irregular patterns within the cortex. The pathophysiological mechanism for this lesion is unknown. Moreover, a subset of CTE cases harbors cortical ß-amyloid plaques. In this study, we analyzed postmortem brain tissues from five institutionalized patients with schizophrenia and history of surgical leucotomy with subsequent survival of at least another 40 years. Because leucotomy involves severing axons bilaterally in prefrontal cortex, this surgical procedure represents a human model of single traumatic brain injury with severe axonal damage and no external impact. We examined cortical tissues at the leucotomy site and at both prefrontal cortex rostral and frontal cortex caudal to the leucotomy site. For comparison, we analyzed brain tissues at equivalent neuroanatomical sites from non-leucotomized patients with schizophrenia, matched in age and gender. All five leucotomy cases revealed severe white matter damage with dense astrogliosis at the axotomy site and also neurofibrillary tangles and p-tau immunoreactive neurites in the overlying gray matter. Four cases displayed p-tau immunoreactivity in neurons, astrocytes and cell processes encompassing blood vessels at cortical sulcal depths in irregular patterns, similar to CTE. The three cases with apolipoprotein E ε4 haplotype showed scattered ß-amyloid plaques in the overlying gray matter, but not the two cases with apolipoprotein E ε3/3 genotype. Brain tissue samples from prefrontal cortex rostral and frontal cortex caudal to the leucotomy site, and all cortical samples from the non-leucotomized patients, showed minimal p-tau and ß-amyloid pathology. These findings suggest that chronic axonal damage contributes to the unique pathology of CTE over time.
[Mh] Termos MeSH primário: Córtex Cerebral/patologia
Encefalopatia Traumática Crônica/patologia
Emaranhados Neurofibrilares/patologia
Placa Amiloide/patologia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Antígenos CD/metabolismo
Antígenos de Diferenciação Mielomonocítica/metabolismo
Apolipoproteínas E/genética
Feminino
Proteína Glial Fibrilar Ácida/metabolismo
Seres Humanos
Masculino
Neurônios/metabolismo
Neurônios/patologia
Psicocirurgia
Esquizofrenia/complicações
Esquizofrenia/patologia
Proteínas tau/metabolismo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antigens, CD); 0 (Antigens, Differentiation, Myelomonocytic); 0 (Apolipoproteins E); 0 (CD68 antigen, human); 0 (Glial Fibrillary Acidic Protein); 0 (tau Proteins)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161126
[St] Status:MEDLINE
[do] DOI:10.1007/s00401-016-1649-7


  7 / 2024 MEDLINE  
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[PMID]:27746252
[Au] Autor:Neumaier F; Paterno M; Alpdogan S; Tevoufouet EE; Schneider T; Hescheler J; Albanna W
[Ad] Endereço:Institute for Neurophysiology, University of Cologne, Cologne, Germany. Electronic address: felix@neumaier-net.de.
[Ti] Título:Surgical Approaches in Psychiatry: A Survey of the World Literature on Psychosurgery.
[So] Source:World Neurosurg;97:603-634.e8, 2017 Jan.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Brain surgery to promote behavioral or affective changes in humans remains one of the most controversial topics at the interface of medicine, psychiatry, neuroscience, and bioethics. Rapid expansion of neuropsychiatric deep brain stimulation has recently revived the field and careful appraisal of its 2 sides is warranted: namely, the promise to help severely devastated patients on the one hand and the dangers of premature application without appropriate justification on the other. Here, we reconstruct the vivid history of the field and examine its present status to delineate the progression from crude freehand operations into a multidisciplinary treatment of last resort. This goal is accomplished by a detailed reassessment of numerous case reports and small-scale open or controlled trials in their historical and social context. The different surgical approaches, their rationale, and their scientific merit are discussed in a manner comprehensible to readers lacking extensive knowledge of neurosurgery or psychiatry, yet with sufficient documentation to provide a useful resource for practitioners in the field and those wishing to pursue the topic further.
[Mh] Termos MeSH primário: Transtornos Mentais/cirurgia
Psicocirurgia/métodos
[Mh] Termos MeSH secundário: Transtornos de Ansiedade/diagnóstico
Transtornos de Ansiedade/psicologia
Transtornos de Ansiedade/cirurgia
Estimulação Encefálica Profunda/métodos
Transtorno Depressivo Resistente a Tratamento/diagnóstico
Transtorno Depressivo Resistente a Tratamento/psicologia
Transtorno Depressivo Resistente a Tratamento/cirurgia
Seres Humanos
Transtornos Mentais/diagnóstico
Transtornos Mentais/psicologia
Microcirurgia/métodos
Técnicas Estereotáxicas
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161018
[St] Status:MEDLINE


  8 / 2024 MEDLINE  
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[PMID]:27405248
[Au] Autor:Kumagai R; Kitazawa M; Ishibiki Y; Narumi K; Ichimiya Y
[Ad] Endereço:Department of Psychiatry, Juntendo Tokyo Koto Geriatric Medical Center, Tokyo, Japan.
[Ti] Título:A patient with schizophrenia presenting with post-lobotomy catatonia treated with olanzapine: a case report.
[So] Source:Psychogeriatrics;17(3):202-203, 2017 May.
[Is] ISSN:1479-8301
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A 79-year-old Japanese woman with schizophrenia was hospitalized because of idiopathic duodenal stenosis. Three days after discontinuing ingestion, including the administration of psychotropic drugs, the patient demonstrated incoherent behaviour and strong general muscle tension, and was unable to engage in conversation. Computed tomography indicated bilateral regions of low density in the frontal lobes, subsequent to which she was diagnosed with post-lobotomy catatonia. Administration of olanzapine (10 mg/day) improved the patient's condition within a short period. Previous studies have demonstrated an association between the dysfunction of frontal circuits and catatonia; therefore, the observed catatonic episode might relate to the disconnection of nerve fibres in the prefrontal lobes induced by her lobotomy. Olanzapine was likely effective in treating catatonia because of its reported efficacy in improving frontal lobe function.
[Mh] Termos MeSH primário: Antipsicóticos/uso terapêutico
Benzodiazepinas/uso terapêutico
Psicocirurgia/efeitos adversos
Esquizofrenia/tratamento farmacológico
[Mh] Termos MeSH secundário: Idoso
Catatonia/cirurgia
Feminino
Seres Humanos
Complicações Pós-Operatórias
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antipsychotic Agents); 12794-10-4 (Benzodiazepines); N7U69T4SZR (olanzapine)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160714
[St] Status:MEDLINE
[do] DOI:10.1111/psyg.12208


  9 / 2024 MEDLINE  
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[PMID]:27751389
[Au] Autor:Jurecic A; Marchalik D
[Ad] Endereço:Department of English, Rutgers University, New Brunswick, NJ 08901, USA. Electronic address: ann.jurecic@rutgers.edu.
[Ti] Título:Distorted memories: literary perspectives on HM and ethics.
[So] Source:Lancet;388(10054):1874, 2016 Oct 15.
[Is] ISSN:1474-547X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Neurociência Cognitiva/história
Epilepsia/história
Literatura Moderna
Medicina na Literatura
Transtornos da Memória/história
Psicocirurgia/história
Sujeitos da Pesquisa
[Mh] Termos MeSH secundário: Adulto
Epilepsia/cirurgia
História do Século XX
Seres Humanos
Consentimento Livre e Esclarecido
Masculino
Transtornos da Memória/etiologia
Transtornos Mentais/história
Transtornos Mentais/cirurgia
Narração
Psicocirurgia/efeitos adversos
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1611
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161019
[St] Status:MEDLINE


  10 / 2024 MEDLINE  
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[PMID]:27733569
[Au] Autor:Paglioli E; Martins WA; Azambuja N; Portuguez M; Frigeri TM; Pinos L; Saute R; Salles C; Hoefel JR; Soder RB; da Costa JC; Hemb M; Theys T; Palmini A
[Ad] Endereço:From the Porto Alegre Epilepsy Surgery Program, Neurology and Neurosurgery Services, Hospital São Lucas (E.P., W.A.M., N.A., M.P., T.M.F., J.C.d.C., M.H., A.P.), The Brain Institute (M.P., R.B.S., J.C.d.C.), and Faculty of Medicine (E.P., N.A., M.P., L.P., R.S., C.S., J.R.H., R.B.S., J.C.d.C., M.H.,
[Ti] Título:Selective posterior callosotomy for drop attacks: A new approach sparing prefrontal connectivity.
[So] Source:Neurology;87(19):1968-1974, 2016 Nov 08.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate a novel approach to control epileptic drop attacks through a selective posterior callosotomy, sparing all prefrontal interconnectivity. METHODS: Thirty-six patients with refractory drop attacks had selective posterior callosotomy and prospective follow-up for >4 years. Falls, episodes of aggressive behavior, and IQ were quantified. Autonomy in activities of daily living, axial tonus, and speech generated a functional score ranging from 0 to 13. Subjective effect on patient well-being and caregiver burden was also assessed. RESULTS: Median monthly frequency of drop attacks decreased from 150 to 0.5. Thirty patients (83%) achieved either complete or >90% control of the falls. Need for constant supervision decreased from 90% to 36% of patients. All had estimated IQ below 85. Median functional score increased from 7 to 10 (p = 0.03). No patient had decrease in speech fluency or hemiparesis. Caregivers rated the effect of the procedure as excellent in 40% and as having greatly improved functioning in another 50%. Clinical, EEG, imaging, and cognitive variables did not correlate with outcome. CONCLUSIONS: This cohort study with objective outcome assessment suggests that selective posterior callosotomy is safe and effective to control drop attacks, with functional and behavioral gains in patients with intellectual disability. Results are comparable to historical series of total callosotomy and suggest that anterior callosal fibers may be spared. CLASSIFICATION OF EVIDENCE: This study provides Class III evidence that selective posterior callosotomy reduces falls in patients with epileptic drop attacks.
[Mh] Termos MeSH primário: Corpo Caloso/cirurgia
Córtex Pré-Frontal/fisiologia
Psicocirurgia/métodos
Síncope/cirurgia
[Mh] Termos MeSH secundário: Atividades Cotidianas
Adolescente
Adulto
Criança
Eletroencefalografia
Epilepsia/complicações
Epilepsia/cirurgia
Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Análise Multivariada
Vias Neurais/cirurgia
Estudos Retrospectivos
Síncope/etiologia
Resultado do Tratamento
Gravação em Vídeo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170515
[Lr] Data última revisão:
170515
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161014
[St] Status:MEDLINE



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