Microsurgical treatment of epilepsy induced by the medial temporal lobe lesion

VernacularTitle:颞叶内侧占位病灶所致癫痫的显微外科治疗
Author: Deming XU ; Jiwen XU ; Fengqiang LIU ; Jiadong QIAN ; Yifeng RUI
Publication Type:Journal Article
Keywords: Epilepsy; Temporal lobe lesion; Microsurgery
From: Chinese Journal of Postgraduates of Medicine 2009;32(35):23-25
CountryChina
Language:Chinese
Abstract: Objective To evaluate the surgical effect of the surgical removal of both medial temporal lobe lesion and hippocampus amygdala for treating epilepsy. Methods Retrospectively analyzed 18 cases of epilepsy induced by the medial temporal lobe lesion and their hippocampal epileptic discharge was recorded by the deep electrode. Removed both medial temporal lobe lesion and hippocampus amygdala through medial temporal gyrus by modified pterional approach. The lesion had been totally removed in all of these 18 cases in naked eye. Evaluated the effect of surgery for epilepsy by Engel grading scale. Results These cases were followed up for average 2.8 years. Engel Ⅰ for 13 cases, Engel Ⅱ for 4 cases, Engel Ⅲ for 1 cases, Engel Ⅳ for none after operation. But there were lateral 1/4 quadrantanopsia in 2 cases, recent memory decreasing in 3 cases and none of death or any other complication. Conclusion Surgical removal of both medial temporal lobe lesion and hippocampus amygdala is a safe and effective method for treating epilepsy with less complication.