An 18-year follow-up of seizure outcome after surgery for temporal lobe epilepsy and hippocampal sclerosis

Hemb, Marta; Palmini, André; Paglioli, Eliseu; Costa, Jaderson Costa da; Azambuja, Ney; Portuguez, Mirna Wetters; Viuniski, Verena; Booij, Linda; Nunes, Magda Lahorgue

doi:10.1136/jnnp-2012-304038

Cited by 81 publications

(63 citation statements)

References 32 publications

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“…Regarding seizure control, a long term follow up confirms the excellent results of this technique 3,6 .…”

Section: Resultssupporting

confidence: 61%

“…This study identified the cortical projection of the inferior choroidal point as an excellent guide to reach the temporal horn in a safe and non traumatic way 3,6,20 . It allows the surgeon to limit the corticectomy while maximizing exposure of the amygdala and hippocampus.…”

Section: Discussionmentioning

confidence: 98%

“…The surgical treatment for mesial temporal lobe epilepsy due to mesial temporal sclerosis has provided excellent seizure control 3,4,5,6,7,8,9,10,11,12,13 . According to Yasargil et.…”

mentioning

confidence: 99%

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Cortical projection of the inferior choroidal point as a reliable landmark to place the corticectomy and reach the temporal horn through a middle temporal gyrus approach

Frigeri

Rhoton

Paglioli

et al. 2014

Arq. Neuro-Psiquiatr.

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Cortical projection of the inferior choroidal point as a reliable landmark to place the corticectomy and reach the temporal horn through a middle temporal gyrus approach Projeção cortical do ponto coroideo inferior como uma referência anatômica confiável para a realização da corticectomia e abordagem do corno temporal através do giro temporal médio. ABSTRACTObjective: To establish preoperatively the localization of the cortical projection of the inferior choroidal point (ICP) and use it as a reliable landmark when approaching the temporal horn through a middle temporal gyrus access. To review relevant anatomical features regarding selective amigdalohippocampectomy (AH) for treatment of mesial temporal lobe epilepsy (MTLE). Method: The cortical projection of the inferior choroidal point was used in more than 300 surgeries by one authors as a reliable landmark to reach the temporal horn. In the laboratory, forty cerebral hemispheres were examined. Conclusion: The cortical projection of the ICP is a reliable landmark for reaching the temporal horn.Keywords: amygdalohippocampectomy, microsurgical anatomy, inferior choroidal point, temporal lobe, temporal horn. RESUMOObjetivo: Estabelecer a projeção cortical do ponto coiroideo inferior e usá-la como referência para realizar a corticectomia e a abordagem do corno temporal do ventrículo lateral em cirurgias para o tratamento da epilepsia temporal mesial. Método: A projeção cortical do ponto coroideo inferior foi utilizada por um dos autores seniors em mais de 300 casos de epilepsia temporal mesial para atingir o corno temporal do ventrículo lateral. Conclusão: A projeção cortical do ponto coroideo inferior foi útil e confiável na abordagem do corno temporal do ventrículo lateral e ela está geralmente localizada na margem inferior do giro temporal médio, em média, a 4,52 cm posterior ao polo temporal.Palavras-chave: amygdalohippocampectomia, anatomia microcirúrgica, ponto coroideo inferior, lobo temporal, corno temporal.

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“…Regarding seizure control, a long term follow up confirms the excellent results of this technique 3,6 .…”

Section: Resultssupporting

confidence: 61%

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Cortical projection of the inferior choroidal point as a reliable landmark to place the corticectomy and reach the temporal horn through a middle temporal gyrus approach

Frigeri

Rhoton

Paglioli

et al. 2014

Arq. Neuro-Psiquiatr.

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“…Previous studies using a variety of methods following excision for HS found a probability of seizure freedom of 0.609 and 0.6410 at 5 years and 0.439 and 0.6511 at 10 years and beyond; however, numbers were small, and two used questionnaires years after surgery 9 10. It is likely that our results of people with temporal excision (75% had HS) are lower because of our practice of prospectively obtaining contemporaneous outcome data each year.…”

Section: Discussionmentioning

confidence: 89%

Factors affecting seizure outcome after epilepsy surgery: an observational series

Bell

Tisi

Gonzalez-Fraile

et al. 2017

J Neurol Neurosurg Psychiatry

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“…Additionally, seizure semiology imposes exclusion of a rolandic or insular epileptogenic zone. Dysplastic cerebellar epilepsy shares with temporal lobe epilepsy due to hippocampal sclerosis and some other syndromes the clinical scenario of a high degree of medical intractability but also optimal rates of surgical control [37]. Prognosis seems to be excellent if complete tumor resection is achieved, with total seizure control in 100 % of the patients reported.…”

Section: Discussionmentioning

confidence: 91%

Dysplastic Cerebellar Epilepsy: Complete Seizure Control Following Resection of a Ganglioglioma

et al. 2015

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Subcortical epilepsy has been a controversial issue, partially settled by evidence showing seizure generation in hypothalamic hamartomas and also by reports of seizures caused by cerebellar lesions. We report 4-year-old girl with right hemifacial seizures and autonomic phenomena, in whom MRI showed an irregular mass in the right cerebellar peduncle. Despite several unremarkable video-EEG recordings, seizure origin in the lesion was hypothesized. Complete resection was feasible, histopathology showed a ganglioglioma, and she has been seizure free for 3 years. A fine line separates these developmental tumors from focal cortical dysplasia, and the homogeneous presentation of this entity led us to propose the terminology dysplastic cerebellar epilepsy.

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An 18-year follow-up of seizure outcome after surgery for temporal lobe epilepsy and hippocampal sclerosis

Cited by 81 publications

References 32 publications

Cortical projection of the inferior choroidal point as a reliable landmark to place the corticectomy and reach the temporal horn through a middle temporal gyrus approach

Cortical projection of the inferior choroidal point as a reliable landmark to place the corticectomy and reach the temporal horn through a middle temporal gyrus approach

Factors affecting seizure outcome after epilepsy surgery: an observational series

Dysplastic Cerebellar Epilepsy: Complete Seizure Control Following Resection of a Ganglioglioma

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