Medical College of Wisconsin
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Microsurgical techniques in temporal lobe epilepsy. Epilepsia 2017 04;58 Suppl 1:10-18 PMID: 28386927

Pubmed ID

28386927

DOI

10.1111/epi.13684

Abstract

Temporal lobe resection is the most prevalent epilepsy surgery procedure. However, there is no consensus on the best surgical approach to treat temporal lobe epilepsy. Complication rates are low and efficacy is very high regarding seizures after such procedures. However, there is still ample controversy regarding the best surgical approach to warrant maximum seizure control with minimal functional deficits. We describe the most frequently used microsurgical techniques for removal of both the lateral and mesial temporal lobe structures in the treatment of medically intractable temporal lobe epilepsy (TLE) due to mesial temporal sclerosis (corticoamygdalohippocampectomy and selective amygdalohippocampectomy). The choice of surgical technique appears to remain a surgeon's preference for the near future. Meticulous surgical technique and thorough three-dimensional microsurgical knowledge are essentials for obtaining the best results.

Author List

Alonso Vanegas MA, Lew SM, Morino M, Sarmento SA

Author

Sean Lew MD Chief, Professor in the Neurosurgery department at Medical College of Wisconsin




Scopus

2-s2.0-85017244319   2 Citations

MESH terms used to index this publication - Major topics in bold

Amygdala
Anterior Temporal Lobectomy
Epilepsy, Temporal Lobe
Hippocampus
Humans
Magnetic Resonance Imaging
Microsurgery
Stereotaxic Techniques
Treatment Outcome
jenkins-FCD Prod-310 bff9d975ec7f2d302586822146c2801dd4449aad