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Stereotactic Surgery for Temporal Lobe Epilepsy

Published online by Cambridge University Press:  02 December 2014

Andrew G. Parrent  and
Andres M. Lozano
Andrew G. Parrent
Affiliation:
Division of Neurosurgery, Department of Clinical Neurological Sciences, London Health Sciences Centre, London ON, Canada
Andres M. Lozano
Affiliation:
Division of Neurosurgery, The Toronto Hospital, Toronto ON, Canada
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Abstract

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In light of the recent resurgence of interest in stereotactic functional procedures, the authors have reviewed the role of stereotactic ablative surgery in the treatment of temporal lobe epilepsy. Literature pertaining to stereotactic amygdalotomy, hippocampotomy and fornicotomy is reviewed and summarized. However, the results presented in those early studies are difficult to interpret given the surgical techniques and outcome assessment used. Modern stereotactic ablative surgery using current image-guided technology offers the opportunity to revisit some of these techniques. In recent studies of stereotactic amygdalohippocampotomy, outcomes are not as favorable as those obtained with standard temporal resections. However, these relatively discrete ablative techniques may shed light on the anatomical substrate underlying temporal lobe epilepsy.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 27 , Issue S1: Canadian Temporal Lobe Epilepsy Surgery Workshop , May 2000 , pp. S79 - S84
Copyright
Copyright © The Canadian Journal of Neurological 2000

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