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Temporal Lobectomy with Amygdalectomy and Minimal Hippocampal Resection: Review of 100 Cases

Published online by Cambridge University Press:  18 September 2015

Theodore Rasmussen  and
William Feindel
Theodore Rasmussen*
Affiliation:
Montreal Neurology Institute and Hospital, Department of Neurology and Neurosurgery, McGill University, Montreal
William Feindel
Affiliation:
Montreal Neurology Institute and Hospital, Department of Neurology and Neurosurgery, McGill University, Montreal
*
Montreal Neurology Institute and Hospital, Montreal Neurology Institute and Hospital, Montreal, Quebec, Canada H3B 2B4
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Abstract:

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The evidence for the role of the amygdala in temporal lobe seizures is supported by this follow-up (2-20 years) of 100 patients who were treated surgically by excision of the antero-lateral temporal cortex, most or all of the amygdala and minimal resection of the hippocampus. The findings showed 53 patients seizure-free or with rare or occasional seizures, 10 patients with marked seizure reduction and 37 with moderate or less reduction of seizures. The results are the same as in another 100 patients where, in addition, half or more of the hippocampus was resected.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 18 , Issue S4 , November 1991 , pp. 603 - 605
Copyright
Copyright © Canadian Neurological Sciences Federation 1991

References

REFERENCES

1.Feindel, W, Penfield, W, Jasper, H. Localization of epileptic discharge in temporal lobe automatism. Trans Am Neurol Assoc 1952; 14–17.Google ScholarPubMed
2.Feindel, W, Penfield, W. Localization of discharge in temporal lobe automatism. Arch Neurol Psychiatry 1954; 72: 605–630.CrossRefGoogle ScholarPubMed
3.Feindel, W. Response patterns elicited from the amygdala and deep temporoinsullar cortex. In: Sheer, D.E., ed. Electrical Stimulation of the Brain. Austin: University of Texas Press 1961: 519–532.Google Scholar
4.Feindel, W. Temporal lobe seizures. In: Magnus, O. and Lorentz, A.M. de Haas, eds. Handbook of Clinical Neurology. Amsterdam: North-Holland Publishing 1974; 87–106.Google Scholar
5.Gloor, P, Oliver, A, Quesney, LF, et al. The role of limbic system in experiential phenomena of temporal lobe epilepsy. Ann Neurol 1982; 12: 129–144.Google Scholar
6.Kuzniecky, R, de la Sayette, V, Ethier, R, et al. Magnetic resonance imaging in temporal lobe epilepsy: pathology correlations. Ann Neurol 1987; 22: 341–347.CrossRefGoogle Scholar
7.Feindel, W, Robitaille, Y, Tampieri, D, et al. MRI findings in temporal lobe epilepsy: correlation with surgical pathology (this supplement).Google Scholar
8.Feindel, W. Factors contributing to the success or failure of surgical intervention for epilepsy. In: Purpura, DP, Penry, JK, Walter, RD, eds. Advances in Neurology. New York: Raven Press 1975; 281–298.Google Scholar
9.Rasmussen, T, Feindel, W. Temporal lobectomy with major hippocampectomy: review of 100 cases (this supplement).Google Scholar
10.Rasmussen, T. Surgical treatment of complex partial seizures: results, lessons and problems. In: Epilepsia. 1983; 24 (suppl. 1): S–65–S76.CrossRefGoogle ScholarPubMed
11.Leonard, G. Temporal lobe surgery for epilepsy: neuropsychological variables related to seizure outcome (this supplement).Google Scholar
12.Milner, B. Clues to the cerebral organization of memory. In: Buser, P.A., Rougeul-Buser, A., eds. Cerebral Correlates of Conscious Experience. INSERM Symposium No. 6. Amsterdam: Elsevier/North Holland. 1978; 139–153.Google Scholar
13.Smith, ML, Milner, B. The role of the right hippocampus in the recall of spatial location. Neuropsychologia. 1981; 19: 781–795.CrossRefGoogle ScholarPubMed