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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los autores resumen su experiencia con referencia al tratamiento mediante secci&#243;n completa&#44; subtotal o parcial &#40;anterior&#41; del cuerpo calloso en 20 epil&#233;pticos con manifestaciones comiciales polimorfas f&#225;rmacoresistentes&#44; en los cuales las crisis at&#243;nico-hipert&#243;nicas con brusca caida y frecuentes traumas craneales constitu&#237;an el elemento predominante&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El seguimiento post-operatorio medio fue de 33&#44;8 meses&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A la luz de un seguimiento m&#225;s prolongado&#44; los resultados conseguidos parecen algo inferiores a los&#183; relatados en trabajos personales publicados con anterioridad&#44; pues se lamentan algunas recidivas&#44; aunque en forma atenuada&#44; tras callosotom&#237;a anterior o subtotal&#46; Sin embargo&#44; los resultados siguen siendo satisfactorios o muy satisfactorios en un 60&#37; de los operados&#44; adem&#225;s en otro 20&#37; se consigui&#243; una disminuci&#243;n considerable de la frecuencia de las crisis&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La experiencia relatada parece sugerir que la callosotom&#237;a total en dos tiempos deber&#237;a tal vez tomarse con m&#225;s frecuencia en consideraci&#243;n sobre todo en los s&#237;ndromes de Lennox-Gastaut con QI bajo&#44; en los que no cabe esperar ulteriores trastornos neuropsicol&#243;gicos&#46;</p>"
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        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The authors summarise the results obtained with callosotomy&#44; whether total or partial&#44; in 20 patients suffering from long-standing drug-resistant multifocal epilepsy&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">In all patients exbibiting protean seizures&#44; the atonichypertonic ones with sudden fall and frequent head injuries were the most disabling&#46; The average postoperative follow-up was 33&#44;8 months&#46; The results of partial or subtotal commisurotomies at a longer follow-up seems to be somewhat less satisfactory than in previous personal reports due to some relapses&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">However&#44; atonic-hypertonic fits are still satisfactorily controlled in about 60&#37; of the patients&#46; Furthermore&#44; significant relief was attained in additional 20&#37; of cases&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">From the reported overall experience it would appear that two-staged complete callosotomy might be more often taken into account by first intention&#44; mostly in patient with low IQ in whom further neuropsychological disorders are not to be expected&#46;</p>"
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La callosotomía en el tratamiento de algunas formas de epilepsia: Resultados y problemas prácticos
I. Papo, F. Rychlicki
Servicio de Neurocirugía. Hospital General Regional
A. Quattrini*, A. Paggi*, A. Ortenzi*, M. Del Pesce**, L. Provinciali**
* Centro para la cura de la Epilepsia. Hospital General Regional
** Clínica Neurológica de la Universidad. Ancona. Italia
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los autores resumen su experiencia con referencia al tratamiento mediante secci&#243;n completa&#44; subtotal o parcial &#40;anterior&#41; del cuerpo calloso en 20 epil&#233;pticos con manifestaciones comiciales polimorfas f&#225;rmacoresistentes&#44; en los cuales las crisis at&#243;nico-hipert&#243;nicas con brusca caida y frecuentes traumas craneales constitu&#237;an el elemento predominante&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El seguimiento post-operatorio medio fue de 33&#44;8 meses&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A la luz de un seguimiento m&#225;s prolongado&#44; los resultados conseguidos parecen algo inferiores a los&#183; relatados en trabajos personales publicados con anterioridad&#44; pues se lamentan algunas recidivas&#44; aunque en forma atenuada&#44; tras callosotom&#237;a anterior o subtotal&#46; Sin embargo&#44; los resultados siguen siendo satisfactorios o muy satisfactorios en un 60&#37; de los operados&#44; adem&#225;s en otro 20&#37; se consigui&#243; una disminuci&#243;n considerable de la frecuencia de las crisis&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La experiencia relatada parece sugerir que la callosotom&#237;a total en dos tiempos deber&#237;a tal vez tomarse con m&#225;s frecuencia en consideraci&#243;n sobre todo en los s&#237;ndromes de Lennox-Gastaut con QI bajo&#44; en los que no cabe esperar ulteriores trastornos neuropsicol&#243;gicos&#46;</p>"
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        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The authors summarise the results obtained with callosotomy&#44; whether total or partial&#44; in 20 patients suffering from long-standing drug-resistant multifocal epilepsy&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">In all patients exbibiting protean seizures&#44; the atonichypertonic ones with sudden fall and frequent head injuries were the most disabling&#46; The average postoperative follow-up was 33&#44;8 months&#46; The results of partial or subtotal commisurotomies at a longer follow-up seems to be somewhat less satisfactory than in previous personal reports due to some relapses&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">However&#44; atonic-hypertonic fits are still satisfactorily controlled in about 60&#37; of the patients&#46; Furthermore&#44; significant relief was attained in additional 20&#37; of cases&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">From the reported overall experience it would appear that two-staged complete callosotomy might be more often taken into account by first intention&#44; mostly in patient with low IQ in whom further neuropsychological disorders are not to be expected&#46;</p>"
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