Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-22T07:28:57.925Z Has data issue: false hasContentIssue false
  • English
  • Français

Operative Approaches for Intractable Temporal Lobe Epilepsy

Published online by Cambridge University Press:  07 November 2014

Kris A. Smith  and
Andrew G. Shetter
Get access Rights & Permissions [Opens in a new window]

Abstract

Over the past half century, a number of advances have been made in surgical approaches to treating refractory temporal lobe epilepsy. This article explains some of the newer approaches and provides support for selective amygdalohippocampectomy. Appropriate preoperative workup, including various invasive monitoring techniques, is also described.

Type
Feature Articles
Information
CNS Spectrums , Volume 2 , Issue 7: Imitators of Epilepsy: Treatment Options , August 1997 , pp. 59 - 67
Copyright
Copyright © Cambridge University Press 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Penfield, W. The radical treatment of traumatic epilepsy and its rationale. J Can Med Assoc. 1930;23:183–197.Google Scholar
2.Falconer, MA, Hill, D, Meyer, A, et al.Treatment of temporal lobe epilepsy by temporal lobectomy: a survey of findings and results. Lancet. 1955;1:827–835.CrossRefGoogle Scholar
3.Yasargil, MG, Wieser, HG, Valavanis, A, et al.Surgery and results of selective amygdala-hippocampectomy in one hundred patients with nonlesional limbic epilepsy. Neurosurg Clin N Am. 1993;4:243–261.Google Scholar
4.Hermann, BP, Wyler, AR, Somes, G, et al.Dysnomia after left anterior temporal lobectomy without functional mapping: frequency and correlates. Neurosurgery. 1994;35:52–57.Google Scholar
5.Hermann, BP, Wyler, AR, Somes, G. Language function following anterior temporal lobectomy. J Neurosurg. 1991;74:560–566.Google Scholar
6.Ojemann, GA, Dodrill, CB. Verbal memory deficits after left temporal lobectomy for epilepsy. J Neurosurg. 1985;62:101–107.CrossRefGoogle ScholarPubMed
7.Feindel, W, Rasmussen, T. Temporal lobectomy with amygdalectomy and minimal hippocampal resection: review of 100 cases. Can J Neurol Sci. 1991;18:603–605.Google Scholar
8.Goldring, S, Edwards, I, Harding, GW, et al.Results of anterior temporal lobectomy that spares the amygdala in patients with complex partial seizures. J Neurosurg. 1992;77:185–193.Google Scholar
9.Nakasato, N, Levesque, MF, Babb, TL. Seizure outcome following standard temporal lobectomy: correlation with hippocampal neuron loss and extrahippocampal pathology. J Neurosurg. 1992;77:194–200.Google Scholar
10.Nayel, MH, Awad, IA, Luders, H. Extent of mesiobasal resection determines outcome after temporal lobectomy for intractable complex partial seizures. Neurosurgery. 1991;29:55–61.Google Scholar
11.Spencer, DD, Spencer, SS, Mattson, RH, et al.Access to the posterior medial temporal lobe structures in the surgical treatment of temporal lobe epilepsy. Neurosurgery. 1984;15:667–671.Google Scholar
12.Wieser, HG. Selective amygdalohippocampectomy: indications and follow-up. Can J Neurol Sci. 1991;18:617–627.Google Scholar
13.Rasmussen, T, Feindel, W. Temporal lobectomy: review of 100 cases with major hippocampectomy. Can J Neurol Sci. 1991;18:601–602.Google Scholar
14.Wyler, AR, Hermann, BP, Somes, G. Extent of medial temporal resection on outcome from anterior temporal lobectomy: a randomized prospective study. Neurosurgery. 1995;37:982–990.Google Scholar
15.Saint-Hilaire, JM, Richer, F, Turmel, A, et al.Relative localizing value of common test used in the preoperative investigation of epileptic patients. Can J Neurol Sci. 1991;18:598–600.Google Scholar
16.Olivier, A. Relevance of removal of limbic structures in surgery for temporal lobe epilepsy. Can J Neurol Sci. 1991;18:628–635.Google Scholar
17.Schwartz, TH, Bazil, GW, Walczak, TS, et al.The predictive value of intraoperative electrocorticography in resections for limbic epilepsy associated with mesial temporal sclerosis. Neurosurgery. 1997;40:302–311.Google Scholar
18.Hori, T, Tabuchi, S, Kurosaki, M, et al.Subtemporal amygdalohippocampectomy for treating medically intractable temporal lobe epilepsy. Neurosurgery. 1993;33:50–57.Google Scholar
19.Park, TS, Bougeois, BF, Silbergeld, DL, et al.Subtemporal transparahippocampal amygdalohippocampectomy for surgical treatment of mesial temporal lobe epilepsy. J Neurosurg. 1996;85:1172–1176.CrossRefGoogle ScholarPubMed
20.Leonard, G. Temporal lobe surgery for epilepsy: neuropsychological variables related to surgical outcome. Can J Neurol Sci. 1991;18:593–597.CrossRefGoogle ScholarPubMed