Surgery for Epilepsy
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Minimally invasive keyhole temporal lobectomy approach for supramaximal glioma resection: A safety and feasibility study
2020, Journal of Clinical NeuroscienceCitation Excerpt :Most importantly, care must be taken during the resection of the dominant temporal lobe, as these surgeries are almost always performed awake in order to adequately map the language center [17,18]. In addition, deep structures within the temporal stem such as the basal ganglia, as well as adjacent cranial nerve and vascular structures, must be avoided to prevent serious complications [19]. Thus visualization of these important anatomical regions is essential in performing a successful temporal lobectomy while minimizing the risk for collateral damage.
Knowledge of language function and underlying neural networks gained from focal seizures and epilepsy surgery
2019, Brain and LanguageCitation Excerpt :However, some language functions have rarely been studied, such as evaluating natural speech production/discourse and timing of verbal responses. We will start with the most common surgical syndrome of TLE, which likely represents 60–70% of all epilepsy surgical cases (Spencer & Spencer, 1985). As the temporal lobes contain structures and pathways that are clearly part of the classic language networks of Wernicke and Broca, and their interconnecting white matter fibers (e.g., arcuate fasciculus), the involvement of language functions in the symptomatology of this disorder is not surprising.
Seizure outcome following primary motor cortex-sparing resective surgery for perirolandic focal cortical dysplasia
2016, International Journal of SurgeryMinimally invasive surgical approaches for temporal lobe epilepsy
2015, Epilepsy and BehaviorCitation Excerpt :It is first important to establish whether one is operating on the dominant or nondominant hemisphere, as this will impact how far posteriorly the resection can be made on the lateral cortical surface of the temporal lobe. The authors suggest that it is safe to resect 4–4.5 cm of temporal lobe on the dominant hemisphere to avoid injury to language areas and 5.5 cm on the nondominant side [5,25]. The vein of Labbé is another structure that can limit the extent of posterior resection and should also be visualized and protected throughout the procedure.