Potential of the neurosurgical treatment of symptomatic temporal epilepsy

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Abstract

A combination of the appropriate epilepsy service and modern methods of microneurosurgery allow realization of an effective high technology medical care to patients with symptomatic temporal epilepsy.

About the authors

K. G. Airapetov

Federal Medical and Biological Agency of Russia (FMBA), Southern District Center of Medicine, Rostov Clinical Hospital

Author for correspondence.
Email: karen-neuro@yandex.ru

д.м.н., нейрохирург высшей категории, руководитель Центра нейрохирургии и неврологии, заведующий нейрохирургическим отделением Ростовской клинической больницы Южного окружного медицинского центра ФМБА России

Russian Federation, Rostov-on-Don

A. A. Glazkov

Federal Medical and Biological Agency of Russia (FMBA), Southern District Center of Medicine, Rostov Clinical Hospital

Email: aga.rnd@yandex.ru

врач-нейрохирург нейрохирургического отделения Центра нейрохирургии и неврологии Ростовской клинической больницы Южного окружного медицинского центра ФМБА России

Russian Federation, Rostov-on-Don

A. H. Al-Khammadi

Federal Medical and Biological Agency of Russia (FMBA), Southern District Center of Medicine, Rostov Clinical Hospital

Email: adel-rus2004@mail.ru

врач-нейрохирург нейрохирургического отделения Центра нейрохирургии и неврологии Ростовской клинической больницы Южного окружного медицинского центра ФМБА России

Russian Federation, Rostov-on-Don

E. V. Prinsovskaya

Federal Medical and Biological Agency of Russia (FMBA), Southern District Center of Medicine, Rostov Clinical Hospital

Email: pev12-22@yandex.ru

врач-невролог неврологического отделения Центра нейрохирургии и неврологии Ростовской клинической больницы Южного окружного медицинского центра ФМБА России

Russian Federation, Rostov-on-Don

M. V. Nikolaenko

Medical center «Neurodon»

Email: neyrodon@mail.ru

врач функциональной диагностики, нейрофизиолог, сомнолог, директор медицинского центра «Нейродон»

Russian Federation, Rostov-on-Don

References

  1. Шершевер А.С. Хирургическое лечение эпилепсии. Екатеринбург, 2005.
  2. Крылов В.В. и др. Клинические рекомендации по предоперационному обследованию и хирургическому лечению пациентов с фармакорезистентными формами эпилепсии. М., 2015.
  3. Pelliccia V., Deleo F., Gozzo F. et al. Early and late epilepsy surgery in focal epilepsies associated with long-term epilepsy-associated tumors // Journal of Neurosurgery. 2017. Vol. 127. No. 5. P. 1147–1152.
  4. Çataltepe O., Turanli G., Yalnizoglu D. et al. Surgical management of temporal lobe tumor-related epilepsy in children // Journal of Neurosurgery: Pediatrics. 2005. Vol. 102. No. 3. P. 280–287.
  5. Jehi L.E., Silveira D.C., Bingaman W., Najm I. Temporal lobe epilepsy surgery failures: Predictors of seizure recurrence, yield of reevaluation, and outcome following reoperation: Clinical article // Journal of Neurosurgery. 2010. Vol. 113. No. 6. P. 1186–1194.
  6. Vale F., Pollock G., Benbadis S.R. Failed epilepsy surgery for mesial temporal lobe sclerosis: A review of the pathophysiology // Neurosurgical Focus. 2012. Vol. 32. No. 3. P. E9.
  7. Schramm J., Kral T., Grunwald T., Blümcke I. Surgical treatment for neocortical temporal lobe epilepsy: Clinical and surgical aspects and seizure outcome // Journal of Neurosurgery. 2001. Vol. 94. No. 1. P. 33–42.
  8. Giulioni M., Rubboli G., Marucci G. et al. Seizure outcome of epilepsy surgery in focal epilepsies associated with temporomesial glioneuronal tumors: Lesionectomy compared with tailored resection: Clinical article // Journal of Neurosurgery. 2009. Vol. 111. No. 6. P. 1275–1282.
  9. Tanriverdi T., Olivier A., Poulin N. et al. Long-term seizure outcome after mesial temporal lobe epilepsy surgery: Corticalamygdalohippocampectomy versus selective amygdalohippocampectomy // Journal of Neurosurgery. 2008. Vol. 108. No. 3. P. 517–524.
  10. Park T.S., Bourgeois F.D., Silbergeld D.L., Dodson W.E. Subtemporal transparahippocampal amygdalohippocampectomy for surgical treatment of mesial temporal lobe epilepsy: Technical note // Journal of Neurosurgery. 1996. Vol. 85. No. 6. P. 1172–1176.
  11. Kirkpatrick P.J., Honavar M., Janota I., Polkey Ch.E. Control of temporal lobe epilepsy following en bloc resection of low-grade tumors // Journal of Neurosurgery. 1993. Vol. 78. No. 1. P. 19–25.
  12. Hori T., Yamane F., Ochiai T. et al. Selective subtemporal amygdalohippocampectomy for refractory temporal lobe epilepsy: Operative and neuropsychological outcomes // Journal of Neurosurgery. 2007. Vol. 106. No. 1. P. 134–141.
  13. Vajkoczy P., Krakow K., Stodieck S. et al. Modified approach for the selective treatment of temporal lobe epilepsy: Transsylvian-transcisternal mesial en bloc resection // Journal of Neurosurgery. 1998. Vol. 88. No. 5. P. 855–862.
  14. Penfild W., Flanigin H. Surgical therapy of temporal lobe seizures // Archives of Neurology and Psychiatry. 1950. Vol. 64. No. 4. P. 491–500.
  15. Falconer M.A. Discussion on the surgery of the surgery of temporal lobe epilepsy: Surgical and pathological aspects // Proceeding of the Royal Society of Medicine. 1953. Vol. 46. P. 971.
  16. Yasargil M.G., Teddy P.J., Roth P. Selective amygdalohippocampectomy. Operative anatomy and surgical technique // Advances and Technical Standards in Neurosurgery. 1985. Vol. 12. P. 93–123.

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Registration of island outbreaks in different time intervals during sleep from the abduction of the left temporal region

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3. Fig. 2. Wave wave flashes along with diffuse epileptiform activity extending to the right frontal region

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4. Fig. 3. Activation of island outbreaks during stress test (hyperventilation) from the leads of the left temporal region

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5. Fig. 4. Brain MRI with intravenous contrast before surgery. A: T2-weighted image, axial projection at the level of the pathological focus; B: T1-weighted image, axial projection at the level of the pathological focus; B: T2-weighted image, coronal projection at the level of the pathological focus

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6. Fig. 5. CKT of the brain on the 1st day after the anterior temporal lobectomy and amygdalgip-porcampectomy on the left

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7. Fig. 6. Appearance of the patient before discharge from the hospital

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Copyright (c) 2018 Airapetov K.G., Glazkov A.A., Al-Khammadi A.H., Prinsovskaya E.V., Nikolaenko M.V.

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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