Selective amygdalohippocampectomy via trans-superior temporal gyrus keyhole approach
Mathon , Bertrand
Clemenceau , Stéphane
- Publisher: Springer Verlag
Epilepsy surgery | [ SDV.MHEP.CHI ] Life Sciences [q-bio]/Human health and pathology/Surgery | Selective amygdalohippocampectomy | [ SCCO.NEUR ] Cognitive science/Neuroscience | Hippocampal sclerosis | Mesial temporal lobe epilepsy | Transcortical approach
International audience; BackgroundHippocampal sclerosis is the most common cause of drug-resistant epilepsy amenable for surgical treatment and seizure control. The rationale of the selective amygdalohippocampectomy is to spare cerebral tissue not included in the seizure generator.MethodDescribe the selective amygdalohippocampectomy through the trans-superior temporal gyrus keyhole approach.ConclusionSelective amygdalohippocampectomy for temporal lobe epilepsy is performed when the data (semiology, neuroimaging, electroencephalography) point to the mesial temporal structures. The trans-superior temporal gyrus keyhole approach is a minimally invasive and safe technique that allows disconnection of the temporal stem and resection of temporomesial structures.