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Journal articles on the topic 'Mesial temporal lobe epilepsy surgery'

Author: Grafiati

Published: 4 June 2021

Last updated: 5 February 2022

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1

Panday, Avidesh, Chrystal Calderon, Sherry Sandy, and Devindra Ramnarine. "Mesial temporal lobe epilepsy." International Journal of Surgery Case Reports 65 (2019): 275–78. http://dx.doi.org/10.1016/j.ijscr.2019.10.063.

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2

Harroud, Adil, Alain Bouthillier, Alexander G. Weil, and Dang Khoa Nguyen. "Temporal Lobe Epilepsy Surgery Failures: A Review." Epilepsy Research and Treatment 2012 (April 22, 2012): 1–10. http://dx.doi.org/10.1155/2012/201651.

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Patients with temporal lobe epilepsy (TLE) are refractory to antiepileptic drugs in about 30% of cases. Surgical treatment has been shown to be beneficial for the selected patients but fails to provide a seizure-free outcome in 20–30% of TLE patients. Several reasons have been identified to explain these surgical failures. This paper will address the five most common causes of TLE surgery failure (a) insufficient resection of epileptogenic mesial temporal structures, (b) relapse on the contralateral mesial temporal lobe, (c) lateral temporal neocortical epilepsy, (d) coexistence of mesial temp

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3

Gaab, Michael R. "Endoscopic Mesial Temporal Lobe Epilepsy Surgery." World Neurosurgery 80, no. 1-2 (2013): 59–61. http://dx.doi.org/10.1016/j.wneu.2013.01.058.

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4

Bercovici, Eduard, Balagobal Santosh Kumar, and Seyed M. Mirsattari. "Neocortical Temporal Lobe Epilepsy." Epilepsy Research and Treatment 2012 (July 16, 2012): 1–15. http://dx.doi.org/10.1155/2012/103160.

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Complex partial seizures (CPSs) can present with various semiologies, while mesial temporal lobe epilepsy (mTLE) is a well-recognized cause of CPS, neocortical temporal lobe epilepsy (nTLE) albeit being less common is increasingly recognized as separate disease entity. Differentiating the two remains a challenge for epileptologists as many symptoms overlap due to reciprocal connections between the neocortical and the mesial temporal regions. Various studies have attempted to correctly localize the seizure focus in nTLE as patients with this disorder may benefit from surgery. While earlier work

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Régis, Jean, Fabrice Bartolomei, M. Rey, Motohiro Hayashi, Patrick Chauvel, and Jean-Claude Peragut. "Gamma knife surgery for mesial temporal lobe epilepsy." Journal of Neurosurgery 93, supplement_3 (2000): 141–46. http://dx.doi.org/10.3171/jns.2000.93.supplement_3.0141.

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Object. Gamma knife radiosurgery (GKS) allows precise and complete destruction of chosen target structures containing healthy and/or pathological cells, without causing significant radiation damage to adjacent tissues. Almost all the well-documented cases of radiosurgery for epilepsy are for epilepsies associated with space-occupying lesions. These results prompted the authors to investigate the use of radiosurgery as a new way of treating epilepsy not associated with space-occupying lesions. Methods. To evaluate this new method, 25 patients who presented with drug-resistant mesial temporal lo

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Rolston, John D., Mark Quigg, and Nicholas M. Barbaro. "Gamma Knife Radiosurgery for Mesial Temporal Lobe Epilepsy." Epilepsy Research and Treatment 2011 (October 29, 2011): 1–5. http://dx.doi.org/10.1155/2011/840616.

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Many patients with mesial temporal lobe epilepsy continue to have seizures despite medical therapy. For these patients, one recourse is surgical resection of the mesial temporal lobe, with its attendant risks. Noninvasive treatment with Gamma Knife radiosurgery is under active investigation as a possible alternative to open surgery. Accumulated evidence from multiple studies shows radiosurgery to be comparable in outcomes to surgical resection. A definitive randomized, controlled trial, the Radiosurgery or Open Surgery for Epilepsy (ROSE) trial, is currently underway, and further investigation

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7

Sagher, Oren, Jayesh P. Thawani, Arnold B. Etame, and Diana M. Gomez-Hassan. "Seizure outcomes and mesial resection volumes following selective amygdalohippocampectomy and temporal lobectomy." Neurosurgical Focus 32, no. 3 (2012): E8. http://dx.doi.org/10.3171/2011.12.focus11342.

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Object Anterior temporal lobectomy (ATL) and selective amygdalohippocampectomy (SelAH) are the preferred surgical approaches for the treatment of medically refractory epilepsy involving the nondominant and dominant temporal lobes, respectively. Both techniques provide access to mesial structures—with the ATL providing a wider surgical corridor than SelAH. Because the extent of mesial temporal resection potentially impacts seizure outcome, the authors examined mesial resection volumes, seizure outcomes, and neuropsychiatric test scores in patients undergoing either ATL or transcortical SelAH at

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PREVEDELLO, DANIEL M. S., MARCOS C. SANDMANN, and ALOIS EBNER. "Prognostic factors in mesial temporal lobe epilepsy surgery." Arquivos de Neuro-Psiquiatria 58, no. 2A (2000): 207–13. http://dx.doi.org/10.1590/s0004-282x2000000200001.

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Eighty-four patients submitted to anterior temporal lobectomy were evaluated retrospectively in order to correlate the different type of simple partial seizure (SPS) and their prognostic implications in patients with mesial temporal sclerosis. The patients were divided in two groups following the classification of Engel; Group 1 (53 patients) included patients Class I (without seizures or of good outcome) and Group 2 (31 patients) included Classes II, III and IV (with seizures or of bad outcome). The two groups were compared and results showed no statistical difference in relation to the demog

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9

Grabenbauer, Gerhard G., Antje Ernst-Stecken, Oliver Ganslandt, and Hermann Stefan. "Gamma Knife Surgery in Mesial Temporal Lobe Epilepsy." Epilepsia 46, no. 3 (2005): 457. http://dx.doi.org/10.1111/j.0013-9580.2005.53904.x.

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10

Regis, Jean, Fabrice Bartolomei, Marc Rey, et al. "Gamma Knife Surgery for Mesial Temporal Lobe Epilepsy." Epilepsia 40, no. 11 (1999): 1551–56. http://dx.doi.org/10.1111/j.1528-1157.1999.tb02039.x.

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11

Shah, Urvashi, Aishani Desai, Sangeeta Ravat, et al. "Memory outcomes in mesial temporal lobe epilepsy surgery." International Journal of Surgery 36 (December 2016): 448–53. http://dx.doi.org/10.1016/j.ijsu.2015.11.037.

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12

Muro, Gerard J., and John P. Karis. "Neuroimaging in Temporal Lobe Epilepsy." CNS Spectrums 2, no. 7 (1997): 31–42. http://dx.doi.org/10.1017/s1092852900010920.

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AbstractVarious neuroimaging modalities are available for evaluating patients with temporal lobe epilepsy (TLE). All patients considering surgery should undergo magnetic resonance imaging, which is valuable in the detection and characterization of lesions, particularly mesial temporal sclerosis, the most common abnormality in TLE. A localized seizure focus is predictive of successful surgical outcome. Complimentary neuroimaging studies include positron emission tomography, single-photon emission tomography, and proton magnetic resonance spectroscopy.

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Javidan, Manouchehr. "Electroencephalography in Mesial Temporal Lobe Epilepsy: A Review." Epilepsy Research and Treatment 2012 (June 17, 2012): 1–17. http://dx.doi.org/10.1155/2012/637430.

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Electroencephalography (EEG) has an important role in the diagnosis and classification of epilepsy. It can provide information for predicting the response to antiseizure drugs and to identify the surgically remediable epilepsies. In temporal lobe epilepsy (TLE) seizures could originate in the medial or lateral neocortical temporal region, and many of these patients are refractory to medical treatment. However, majority of patients have had excellent results after surgery and this often relies on the EEG and magnetic resonance imaging (MRI) data in presurgical evaluation. If the scalp EEG data

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14

Schulz, Reinhard, Matthias Hoppe, Frank Boesebeck, et al. "Analysis of Reoperation in Mesial Temporal Lobe Epilepsy With Hippocampal Sclerosis." Neurosurgery 68, no. 1 (2011): 89–97. http://dx.doi.org/10.1227/neu.0b013e3181fdf8f8.

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Abstract BACKGROUND: Most patients do well after epilepsy surgery for mesial temporal lobe sclerosis, and in only 8 to 12% of all operations, the outcome is classified as not improved. OBJECTIVE: To analyze the outcome of reoperation in cases of incomplete resection of mesial temporal lobe structures in patients with mesial temporal lobe sclerosis in temporal lobe epilepsy. METHODS: We analyzed 22 consecutive patients who underwent reoperation for mesial temporal lobe sclerosis (follow-up, 23-112 months; mean, 43.18 months) by evaluating noninvasive electroencephalographic/video monitoring bef

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15

Cendes, Fernando. "Mesial temporal lobe epilepsy syndrome: an updated overview." Journal of Epilepsy and Clinical Neurophysiology 11, no. 3 (2005): 141–44. http://dx.doi.org/10.1590/s1676-26492005000300006.

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Mesial temporal lobe epilepsy (MTLE) is the most common form of partial epilepsy in young adults and also the most frequent type of epilepsy reported in surgical series worldwide. Mesial temporal lobe sclerosis (MTS) is the major underlying cause of MTLE, and it is present in 60-70% of patients with MTLE who undergo surgery for treatment of medically refractory seizures. Pathogenetic mechanisms underlying this distinct hippocampal pathology remains undetermined. Recent findings suggest a developmental malformation of hippocampus (inherited or acquired) that in association with subsequent injur

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Pitskhelauri, David, Elina Kudieva, Maria Kamenetskaya, et al. "Multiple hippocampal transections for mesial temporal lobe epilepsy." Surgical Neurology International 12 (July 27, 2021): 372. http://dx.doi.org/10.25259/sni_350_2021.

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Background: The purpose of this study was to evaluate the effectiveness of multiple hippocampal transections (MHT) in the treatment of drug-resistant mesial temporal lobe epilepsy. Methods: Six patients underwent MHT at Burdenko Neurosurgery Center in 2018. The age of the patients varied from 18 to 43 years. All patients suffered from refractory epilepsy caused by focal lesions of the mesial temporal complex or temporal pole in dominant side. Postoperative pathology revealed neuronal-glial tumors in two patients, focal cortical dysplasia (FCD) of the temporal pole – in two patients, cavernous

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Heydrich, Lukas, Guillaume Marillier, Nathan Evans, Olaf Blanke, and Margitta Seeck. "Lateralising value of experiential hallucinations in temporal lobe epilepsy." Journal of Neurology, Neurosurgery & Psychiatry 86, no. 11 (2015): 1273–76. http://dx.doi.org/10.1136/jnnp-2014-309452.

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ObjectivesEver since John Hughlings Jackson first described the so-called ‘dreamy state’ during temporal lobe epilepsy, that is, the sense of an abnormal familiarity (déjà vu) or vivid memory-like hallucinations from the past (experiential hallucinations), these phenomena have been studied and repeatedly linked to mesial temporal lobe structures. However, little is known about the lateralising value of either déjà vu or experiential hallucinations.MethodsWe analysed a sample of 28 patients with intractable focal epilepsy suffering from either déjà vu or experiential hallucinations. All the pat

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Boling, Warren W., Melissa Lancaster, Michal Kraszpulski, Adriana Palade, Gary Marano, and Aina Puce. "FLUORODEOXYGLUCOSE–POSITRON EMISSION TOMOGRAPHIC IMAGING FOR THE DIAGNOSIS OF MESIAL TEMPORAL LOBE EPILEPSY." Neurosurgery 63, no. 6 (2008): 1130–38. http://dx.doi.org/10.1227/01.neu.0000334429.15867.3b.

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Abstract OBJECTIVE Fluorodeoxyglucose (FDG)-positron emission tomographic (PET) imaging plays an important role in the evaluation of intractable epilepsy. The metabolic defect has proven utility in the lateralization of temporal lobe epilepsy. However, the role of FDG–PET imaging in the localization of a seizure focus within the temporal lobe is uncertain. We evaluated FDG–PET imaging for the capability to localize a temporal seizure focus within the mesial structures. METHODS Twenty-eight patients who underwent selective amygdalohippocampectomy for intractable temporal lobe epilepsy were stud

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19

Cukiert, Arthur, Mario Sergio Duarte Andrioli, and Ana Regina Caner-Cukiert. "Unilateral mesial temporal atrophy after a systemic insult as a possible etiology of refractory temporal lobe epilepsy: case report." Arquivos de Neuro-Psiquiatria 55, no. 3B (1997): 646–49. http://dx.doi.org/10.1590/s0004-282x1997000400023.

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Mesial temporal sclerosis is the main pathological substrate present in refractory temporal lobe epilepsy and its presence is often related to the occurrence of febrile seizures in infancy. There is an on-going discussion on the nature of mesial temporal sclerosis as it related to epilepsy: cause or consequence. A previously normal child developed hyperosmolar coma after abdominal surgery at the age of 6. Three months afterwards he developed simple and complex partial seizures with an increasing frequency and refractory to multiple mono-and polytherapic drug regimens. He was evaluated for surg

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20

Boling, Warren. "Minimal access keyhole surgery for mesial temporal lobe epilepsy." Journal of Clinical Neuroscience 17, no. 9 (2010): 1180–84. http://dx.doi.org/10.1016/j.jocn.2010.01.030.

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21

Regis, Jean. "Response: Gamma Knife Surgery in Mesial Temporal Lobe Epilepsy." Epilepsia 46, no. 3 (2005): 457–59. http://dx.doi.org/10.1111/j.0013-9580.2005.t01-1-53904.x.

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Regis, Jean. "Response: Gamma Knife Surgery in Mesial Temporal Lobe Epilepsy." Epilepsia 46, no. 3 (2008): 457–59. http://dx.doi.org/10.1111/j.0013-9580.2005.t01-1-53904_46_3.x.

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23

Vale, Fernando L., Stephen Reintjes, and Hermes G. Garcia. "Complications after mesial temporal lobe surgery via inferiortemporal gyrus approach." Neurosurgical Focus 34, no. 6 (2013): E2. http://dx.doi.org/10.3171/2013.3.focus1354.

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Object The purpose of this study was to identify the complications associated with the inferior temporal gyrus approach to anterior mesial temporal lobe resection for temporal lobe epilepsy. Methods This retrospective study examined complications experienced by 483 patients during the 3 months after surgery. All surgeries were performed during 1998–2012 by the senior author (F.L.V.). Results A total of 13 complications (2.7%) were reported. Complications were 8 delayed subdural hematomas (1.6%), 2 superficial wound infections (0.4%), 1 delayed intracranial hemorrhage (0.2%), 1 small lacunar st

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Awad, Ahmed J., Ha S. Nguyen, Elsa Arocho-Quinones, Ninh Doan, Wade Mueller, and Sean M. Lew. "Stereotactic laser ablation of amygdala and hippocampus using a Leksell stereotactic frame." Neurosurgical Focus 44, videosuppl2 (2018): V1. http://dx.doi.org/10.3171/2018.4.focusvid.17712.

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Approximately one-third of patients with epilepsy are resistant to medical therapy, particularly in those with mesial temporal lobe epilepsy. While there are several surgical modalities, efforts have been focused on developing safer and minimally invasive techniques. In this video, the authors present the case of a 45-year-old woman with a 2-year history of refractory left mesial temporal lobe epilepsy who underwent MRI-guided laser ablation of amygdala and hippocampus. There were no perioperative complications.The video can be found here: https://youtu.be/XFHt2jTdE_4.

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Leblanc, Richard, Donatella Tampieri, Yves Robitaille, André Olivier, Frederick Andermann, and Alan Sherwin. "Developmental anterobasal temporal encephalocele and temporal lobe epilepsy." Journal of Neurosurgery 74, no. 6 (1991): 933–39. http://dx.doi.org/10.3171/jns.1991.74.6.0933.

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✓ The authors describe the association between an anterobasal temporal lobe encephalocele and medically intractable temporal lobe epilepsy in three patients treated successfully by surgery. Two men and one woman, aged 26 to 37 years (mean 31 years), had onset of complex automatism and generalized seizures in their second and fourth decades (mean age 22.7 years). They had been epileptic for 6 to 14 years (mean 8.3 years) before surgery. Preoperative electroencephalograms localized ictal epileptic activity to the left mesial temporal lobe in all cases, and neuropsychological testing revealed dom

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Wicks, Robert T., Walter J. Jermakowicz, Jonathan R. Jagid, et al. "Laser Interstitial Thermal Therapy for Mesial Temporal Lobe Epilepsy." Neurosurgery 79, suppl_1 (2016): S83—S91. http://dx.doi.org/10.1227/neu.0000000000001439.

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Abstract Approximately one-third of patients with epilepsy do not achieve adequate seizure control through medical management alone. Mesial temporal lobe epilepsy (MTLE) is one of the most common forms of medically refractory epilepsy referred for surgical management. Stereotactic laser amygdalohippocampotomy using magnetic resonance-guided laser interstitial thermal therapy (MRg-LITT) is an important emerging therapy for MTLE. Initial published reports support MRg-LITT as a less invasive surgical option with a shorter hospital stay and fewer neurocognitive side effects compared with craniotom

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Suresh, Suraj, Jennifer Sweet, Philip S. Fastenau, Hans Lüders, Patrick Landazuri, and Jonathan Miller. "Temporal lobe epilepsy in patients with nonlesional MRI and normal memory: an SEEG study." Journal of Neurosurgery 123, no. 6 (2015): 1368–74. http://dx.doi.org/10.3171/2015.1.jns141811.

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OBJECT Temporal lobe epilepsy (TLE) in the absence of MRI abnormalities and memory deficits is often presumed to have an extramesial or even extratemporal source. In this paper the authors report the results of a comprehensive stereoelectroencephalography (SEEG) analysis in patients with TLE with normal MRI images and memory scores. METHODS Eighteen patients with medically refractory epilepsy who also had unremarkable MR images and normal verbal and visual memory scores on neuropsychological testing were included in the study. All patients had seizure semiology and video electroencephalography

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Lee, Ji Yeoun, Ji Hoon Phi, Kyu-Chang Wang, Byung-Kyu Cho, and Seung-Ki Kim. "Transsylvian-Transcisternal Selective Lesionectomy for Pediatric Lesional Mesial Temporal Lobe Epilepsy." Neurosurgery 68, no. 3 (2011): 582–87. http://dx.doi.org/10.1227/neu.0b013e3182077552.

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Abstract BACKGROUND: The optimal extent of resection for surgical treatment of lesional epilepsy is a controversial issue. OBJECTIVE: For patients with mesial temporal lobe lesions visible on magnetic resonance imaging, we compared the surgical outcome of selective lesionectomy with that of standard anterior temporal lobectomy (ATL) and amygdalohippocampectomy. METHODS: We conducted a retrospective analysis of the seizure outcome of 40 patients treated for lesional mesial temporal lobe epilepsy between 1993 and 2008. Before 2006, patients were managed by ATL (n = 29) and from 2006 onward, by s

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Schoenberg, Mike R., William E. Clifton, Ryan W. Sever, and Fernando L. Vale. "Neuropsychology Outcomes Following Trephine Epilepsy Surgery: The Inferior Temporal Gyrus Approach for Amygdalohippocampectomy in Medically Refractory Mesial Temporal Lobe Epilepsy." Neurosurgery 82, no. 6 (2017): 833–41. http://dx.doi.org/10.1093/neuros/nyx302.

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Abstract BACKGROUND Surgery is indicated in cases of mesial temporal lobe epilepsy(MTLE) that are refractory to medical management. The inferior temporal gyrus (ITG) approach provides access to the mesial temporal lobe (MTL) structures with minimal tissue disruption. Reported neuropsychology outcomes following this approach are limited. OBJECTIVE To report neuropsychological outcomes using an ITG approach to amygdalohippocampectomy (AH) in patients with medically refractory MTLE based on a prospective design. METHODS Fifty-four participants had Engel class I/II outcome following resection of M

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Olivier, André. "Relevance of Removal of Limbic Structures in Surgery for Temporal Lobe Epilepsy." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 18, S4 (1991): 628–35. http://dx.doi.org/10.1017/s0317167100032844.

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ABSTRACT:We have briefly reviewed the experimental and clinical evidence for the importance of the amygdala and hippocampal formation in temporal lobe epilepsy. More specifically, we have analyzed our own experience in patients with temporal lobe epilepsy investigated with intracerebral stereotaxic electrodes and operated by various modalities of resection. Our results, in agreement with previous experimental and clinical work, provide further evidence for an overwhelming predominance of limbic participation in temporal lobe epilepsy. As a result, more and more selective procedures are being c

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Jaume, Alejandra, Federico Salle, Pablo Pereda, Fernando Martínez, Nicolas Sgarbi, and Alejandro Russo. "Anatomo-radiologic Correlation of the Mesial Aspect of the Temporal Lobe and its Application to Epilepsy Surgery." International Journal of Medical and Surgical Sciences 1, no. 4 (2018): 311–18. http://dx.doi.org/10.32457/ijmss.2014.038.

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The study of the mesial aspect has gained importance due to its anatomic complexity and its relationship to the surgical treatment of epilepsy. The aim of this paper is to do an anatomo-radiologic correlation of the morphology and topography of the mesial aspect of the temporal lobe, with its neurosurgical application in the treatment of diseases in the region. Eight (8) adult formalin fixed hemispheres with no pathologic signs were studied. On 4 of them sections within the 3 planes were performed (sagittal, coronal and axial), for radiologic correlation. On the remaining 4, dissection of the

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Peragut, J. C., M. Rey, Y. Samson, et al. "First Selective Amygdalohippocampal Radiosurgery for 'Mesial Temporal Lobe Epilepsy'." Stereotactic and Functional Neurosurgery 64, no. 1 (1995): 193–201. http://dx.doi.org/10.1159/000098779.

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Régis, J., F. Bartolomei, M. Hayashi, and P. Chauvel. "What Role for Radiosurgery in Mesial Temporal Lobe Epilepsy." Zentralblatt für Neurochirurgie 63, no. 03 (2002): 101–5. http://dx.doi.org/10.1055/s-2002-35824.

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Muzumdar, Dattatraya, Manoj Patil, Atul Goel, Sangeeta Ravat, Nina Sawant, and Urvashi Shah. "Mesial temporal lobe epilepsy – An overview of surgical techniques." International Journal of Surgery 36 (December 2016): 411–19. http://dx.doi.org/10.1016/j.ijsu.2016.10.027.

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Allebone, James, Richard Kanaan, and Sarah J. Wilson. "Systematic review of structural and functional brain alterations in psychosis of epilepsy." Journal of Neurology, Neurosurgery & Psychiatry 89, no. 6 (2017): 611–17. http://dx.doi.org/10.1136/jnnp-2017-317102.

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This systematic review critically assesses structural and functional neuroimaging studies of psychosis of epilepsy (POE). We integrate findings from 18 studies of adults with POE to examine the prevailing view that there is a specific relationship between temporal lobe epilepsy (TLE) and POE, and that mesial temporal lobe pathology is a biomarker for POE. Our results show: (1) conflicting evidence of volumetric change in the hippocampus and amygdala; (2) distributed structural pathology beyond the mesial temporal lobe; and (3) changes in frontotemporal functional network activation. These resu

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Panigrahi, Manas, Sudhindra Vooturi, Rammohan Vadapalli, Shanmukhi Somayajula, Sailaja Madigubba, and Sita Jayalakshmi. "Predictors of outcome of surgery in adults with mesial lesional temporal lobe epilepsy." International Journal of Epilepsy 02, no. 02 (2015): 078–83. http://dx.doi.org/10.1016/j.ijep.2015.11.001.

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Abstract Background We report the clinical characteristics and outcome of epilepsy surgery in adult patients with intractable epilepsy due to isolated lesional temporal lobe epilepsy (TLE). Methods Retrospective analysis of clinical and outcome characteristics in 47 consecutive adult patients with intractable epilepsy due to isolated lesional TLE who underwent epilepsy surgery from November 2009 to January 2015 was done to predictors of outcome. Results The mean age at surgery of the study population was 30.74 ± 10.85 years with 20 (43.5%) women. While the average age at onset of epilepsy was

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Goldstein, Lilach, Mitra Dehghan Harati, Kathryn Devlin, et al. "Consequences of mesial temporal sparing temporal lobe surgery in medically refractory epilepsy." Epilepsy & Behavior 115 (February 2021): 107642. http://dx.doi.org/10.1016/j.yebeh.2020.107642.

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Vale, Fernando L., Glen Pollock, and Selim R. Benbadis. "Failed epilepsy surgery for mesial temporal lobe sclerosis: a review of the pathophysiology." Neurosurgical Focus 32, no. 3 (2012): E9. http://dx.doi.org/10.3171/2011.12.focus11318.

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Object The object of the current study was to review the electrophysiology and pathological substrate of failed temporal lobe surgery in patients with mesial temporal sclerosis. Methods A systematic review of the literature was performed for the years 1999–2010 to assess the cause of failure and to identify potential reoperation candidates. Results Repeat electroencephalographic evaluation documenting ipsilateral temporal lobe onset was the most frequent cause for recurrent epileptogenesis, followed by contralateral temporal lobe seizures. Less frequently, surgical failures demonstrated an ele

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Ng, Marcus C., Ronan Kilbride, Mirela Simon, Emad Eskandar, and Andrew J. Cole. "Hippocampography Guides Consistent Mesial Resections in Neocortical Temporal Lobe Epilepsy." Epilepsy Research and Treatment 2016 (September 14, 2016): 1–8. http://dx.doi.org/10.1155/2016/3581358.

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Background. The optimal surgery in lesional neocortical temporal lobe epilepsy is unknown. Hippocampal electrocorticography maximizes seizure freedom by identifying normal-appearing epileptogenic tissue for resection and minimizes neuropsychological deficit by limiting resection to demonstrably epileptogenic tissue. We examined whether standardized hippocampal electrocorticography (hippocampography) guides resection for more consistent hippocampectomy than unguided resection in conventional electrocorticography focused on the lesion. Methods. Retrospective chart reviews any kind of electrocort

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Huang, Yuhao, Steven A. Leung, Jonathon J. Parker, et al. "Anatomic and Thermometric Analysis of Cranial Nerve Palsy after Laser Amygdalohippocampotomy for Mesial Temporal Lobe Epilepsy." Operative Neurosurgery 18, no. 6 (2019): 684–91. http://dx.doi.org/10.1093/ons/opz279.

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Abstract BACKGROUND Laser interstitial thermal therapy (LITT) is a minimally invasive therapy for treating medication-resistant mesial temporal lobe epilepsy. Cranial nerve (CN) palsy has been reported as a procedural complication, but the mechanism of this complication is not understood. OBJECTIVE To identify the cause of postoperative CN palsy after LITT. METHODS Four medial temporal lobe epilepsy patients with CN palsy after LITT were identified for comparison with 22 consecutive patients with no palsy. We evaluated individual variation in the distance between CN III and the uncus, and CN I

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Sharifi, Guive, Ehsan Alavi, Mohammad Samadian, Faezeh Faramarzi, and Karim Haddadian. "Mesial temporal lobe epidermoid tumour compressing the hippocampal formation caused refractory temporal lobe epilepsy." British Journal of Neurosurgery 24, no. 6 (2010): 692–94. http://dx.doi.org/10.3109/02688697.2010.499152.

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Savic, I., and J. Engel. "Sex differences in patients with mesial temporal lobe epilepsy." Journal of Neurology, Neurosurgery & Psychiatry 65, no. 6 (1998): 910–12. http://dx.doi.org/10.1136/jnnp.65.6.910.

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Miyagi, Yasushi, Fumio Shima, Katsuya Ishido, et al. "Inferior Temporal Sulcus Approach for Amygdalohippocampectomy Guided by a Laser Beam of Stereotactic Navigator." Neurosurgery 52, no. 5 (2003): 1117–24. http://dx.doi.org/10.1093/neurosurgery/52.5.1117.

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Abstract OBJECTIVE To describe a surgical technique for a minimally invasive transcortical transventricular amygdalohippocampectomy via the inferior temporal sulcus (ITS) using a stereotactic navigator. METHODS Seven patients with medically intractable mesial temporal lobe epilepsy underwent an amygdalohippocampectomy via the ITS. By use of a laser-guided navigation system, the epileptogenic foci of the mesial temporal lobe were resected through a small linear operative route that was made by a brain speculum inserted from the ITS to the anterolateral floor of the temporal horn in the lateral

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Kassiri, J., T. Rajapakse, L. Schmitt, M. Wheatley, and B. Sinclair. "P.015 Mesial Temporal Sclerosis is a rare occurrence in Intractable Pediatric Temporal Lobe Epilepsies." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 45, s2 (2018): S19. http://dx.doi.org/10.1017/cjn.2018.117.

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Background: Temporal lobe epilepsy (TLE) accounts for approximately 20% of pediatric epilepsy cases. Of those, many are considered medically intractable and require surgical interventions. In this study, we hypothesized that mesial temporal sclerosis (MTS) was less common in patients who had undergone surgery for intractable pediatric TLE than in adult series. We further hypothesized that there was a radiological and pathological discordance in identifying the cause of pediatric TLE. Methods: We retrospectively reviewed the charts of pediatric patients with TLE who had undergone surgical treat

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Escorsi-Rosset, Sara, Cecília Souza-Oliveira, Ana Carolina Gargaro-Silva, et al. "The Boston Naming Test as a predictor of post-surgical naming dysfunctions in temporal lobe epilepsy." Journal of Epilepsy and Clinical Neurophysiology 17, no. 4 (2011): 140–43. http://dx.doi.org/10.1590/s1676-26492011000400005.

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OBJECTIVES: Patients that undergo epilepsy surgery for temporal lobe epilepsy (TLE) in the dominant hemisphere are more susceptible to naming deficits. The aim of the present study was to perform an observational retrospective study comparing two groups of patients for naming performance, those with left and right temporal lobe resections regarding the performance in naming by Boston Naming Test (BNT). METHODS: A total of 120 right-handed patients (52 right temporal lobe and 68 left temporal lobe), aged between 18 and 59, with pharmacoresistant mesial TLE were retrospectively analyzed. All pat

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Vale, Fernando L., Ali M. Bozorg, Mike R. Schoenberg, Kondi Wong, and Thomas C. Witt. "Long-term radiosurgery effects in the treatment of temporal lobe epilepsy." Journal of Neurosurgery 117, no. 5 (2012): 962–69. http://dx.doi.org/10.3171/2012.6.jns111905.

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Epilepsy surgery is an effective treatment for medically resistant temporal lobe epilepsy (TLE). To minimize complication rates and potentially improve neuropsychology outcomes, stereotactic radiosurgery (SRS) has been explored as an alternative. Two pilot trials have demonstrated the effectiveness of SRS for the treatment of medically resistant TLE, with seizure-free outcomes for approximately 65% of patients at last follow-up. Despite encouraging results, no conclusive long-term outcomes are available for SRS. This article discusses a single patient who presented with recurrent seizures, wor

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Park, T. S., Blaise F. D. Bourgeois, Daniel L. Silbergeld, and W. Edwin Dodson. "Subtemporal transparahippocampal amygdalohippocampectomy for surgical treatment of mesial temporal lobe epilepsy." Journal of Neurosurgery 85, no. 6 (1996): 1172–76. http://dx.doi.org/10.3171/jns.1996.85.6.1172.

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✓ Amygdalohippocampectomy (AH) is an accepted surgical option for treatment of medically refractory mesial temporal lobe epilepsy. Operative approaches to the amygdala and hippocampus that previously have been reported include: the sylvian fissure, the superior temporal sulcus, the middle temporal gyrus, and the fusiform gyrus. Regardless of the approach, AH permits not only extirpation of an epileptogenic focus in the amygdala and anterior hippocampus, but interruption of pathways of seizure spread via the entorhinal cortex and the parahippocampal gyrus. The authors report a modification of a

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Richardson, R. Mark, Nicholas M. Barbaro, Arturo Alvarez-Buylla, and Scott C. Baraban. "Developing cell transplantation for temporal lobe epilepsy." Neurosurgical Focus 24, no. 3-4 (2008): E17. http://dx.doi.org/10.3171/foc/2008/24/3-4/e16.

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✓ Mesial temporal lobe epilepsy (MTLE) is presumed to develop progressively as a consequence of synaptic reorganization and neuronal loss, although the exact etiology of seizure development is unknown. Nearly 30% of patients with MTLE have disabling seizures despite pharmacological treatment, and the majority of these patients are recommended for resection. The authors review cell transplantation as an alternative approach to the treatment of epilepsy. Recent work in animal models shows that grafted neuronal precursors that differentiate into inhibitory interneurons can increase the level of l

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Aquilina, Kristian, Dave F. Clarke, James W. Wheless, and Frederick A. Boop. "Microencephaloceles: another dual pathology of intractable temporal lobe epilepsy in childhood." Journal of Neurosurgery: Pediatrics 5, no. 4 (2010): 360–64. http://dx.doi.org/10.3171/2009.11.peds09275.

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Temporal lobe encephaloceles can be associated with temporal lobe epilepsy. The authors report on the case of an adolescent with multiple microencephaloceles, in the anterolateral middle fossa floor, identified at surgery (temporal lobectomy) for intractable partial-onset seizures of temporal origin. Magnetic resonance imaging revealed only hippocampal atrophy. Subdural electrodes demonstrated ictal activity arising primarily from the anterior and lateral temporal lobe, close to the microencephaloceles, spreading to the anterior and posterior mesial structures. Pathological examination reveale

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Usami, Kenichi, Kensuke Kawai, Tomoyuki Koga, et al. "Delayed complication after Gamma Knife surgery for mesial temporal lobe epilepsy." Journal of Neurosurgery 116, no. 6 (2012): 1221–25. http://dx.doi.org/10.3171/2012.2.jns111296.

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Object Despite the controversy over the clinical significance of Gamma Knife surgery (GKS) for refractory mesial temporal lobe epilepsy (MTLE), the modality has attracted attention because it is less invasive than resection. The authors report long-term outcomes for 7 patients, focusing in particular on the long-term complications. Methods Between 1996 and 1999, 7 patients with MTLE underwent GKS. The 50% marginal dose covering the medial temporal structures was 18 Gy in 2 patients and 25 Gy in the remaining 5 patients. Results High-dose treatment abolished the seizures in 2 patients and signi

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