膵尾側切除の癲癇患者に及ぼす影響に就て

Influence of Caudal Resection of the Pancreas Upon Epileptic Seizures.

　荒木千里教授の創意により1949年7月以降眞性癲癇治療の目的を以て教室で試みられている膵尾3／5内外切除が果して癲癇患者に如何なる影響を及ぼすものか追究したのでその結果を述べ些か檢討を加えて見たい。

According to By the suggestion of Dr. Ch. Araki, partial resection of the pancreas (cau-dal 3/5 of the entire organ) was attempted as a cure for idiopathic epilepsy in 27 cases. The observation during 6-18 months after the operation gave the following results.

1) The operation was effectual in alleviating epileptic fits in 66.7% of our cases, the result being better in childhood.

2) Postoperative hyperglycemia was usually moderate and returned to the normal level mostly 2-3 weeks after the operation, but in only one case persisting diabetes mellitus resulted. The therapeutic effect seemed be better in those cases where postoperative hyperglycemia lasted longer.

3) In most cases after the operation, eosin-ophiles in blood decreased for a long time, espesially so, when hyperglycemia was prono-unced arid of longer duration.

4) There may be some relation between. the operative effect and the change in spermine content of serum.