scholarly journals Intractable Temporal Lobe Epilepsy (TLE) From Tuberculoma; Microneurosurgical Management of by Amygdalohippocampectomy with Lesionectomy Plus Standard Anterior Temporal lobectomy: A Case Report and Short Review of Literature

2019 ◽  
Vol 16 (2) ◽  
pp. 106-109
Author(s):  
Forhad Hossain Chowdhury ◽  
Mohammod Raziul Haque ◽  
AFM Momtazul Haque
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Medial Temporal Lobe ◽  
Venous Malformation ◽  
Intractable Epilepsy ◽  
Complex Partial Seizure ◽  
Temporal Lobectomy ◽  
Mesial Temporal Sclerosis ◽  
Low Grade ◽  
Presenting Symptoms

Patient presenting as a case of Temporal Lobe Epilepsy (TLE) are usually resistant to antiepileptic drugs and surgery is the treatment of choice. This type of epilepsy may be due to Mesial Temporal Sclerosis (MTS), tumors [i.e. low grade glioma, Arterio-venous Malformation (AVM) etc], trauma, infection (Tuberculosis) etc. Here we report a case of surgically treated TLE that was due to a large tuberculoma in medial temporal lobe. Intractable epilepsy caused by tuberculoma is rare. The only presenting symptoms was Complex partial seizure (Psychomotor epilepsy) for which the patient underwent scalp EEG (Electro Encephalography) and MRI (Magnetic resonance imaging) of brain. The patient was managed by amygdalohippocampectomy with lesionectomy plus standard anterior lobectomy. Postoperatively she was on anti-tubercular therapy and on carbamazepine. The case was seizure and disease free till last follow up. Journal of Surgical Sciences (2012) Vol. 16 (2) : 106-109

scholarly journals Microneurosurgical Management of Intractable Temporal Lobe Epilepsy (TLE) from Mesial Temporal Sclerosis (MTS) by Amygdalohippocampectomy plus Standard Anterior Temporal Lobectomy: A Report of Three Cases

1970 ◽  
Vol 12 (1) ◽  
pp. 61-65
Author(s):  
Forhad Hossain Chowdhury ◽  
Md Raziul Haque ◽  
Md Shafiqul Islam ◽  
Asit Chandra Sarker ◽  
AFM Mofakkharul Islam
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Venous Malformation ◽  
Intractable Epilepsy ◽  
Complex Partial Seizure ◽  
Temporal Lobectomy ◽  
Mesial Temporal Sclerosis ◽  
Low Grade ◽  
College Hospital ◽  
Presenting Symptoms

Intractable Temporal Lobe Epilepsy may be due to Mesial Temporal Sclerosis (MTS), tumors [i.e. low grade glioma, Arterio-venous Malformation (AVM) etc], trauma, infection (Tuberculosis) etc. Intractable Temporal Lobe Epilepsy (TLE) from Mesial Temporal Sclerosis (MTS) is usually resistant to antiepileptic drugs and surgery is the treatment of choice like other form of TLE . MTS is the most common cause of intractable epilepsy in adult. Here we report three cases of surgically treated TLE that were due to MTS in the department of neurosurgery, Dhaka Medical College Hospital and a private Hospital, Dhaka, Bangladesh from August 2009 to February 2010. In all cases the only presenting symptoms was complex partial seizure (Psychomotor epilepsy) for which all underwent scalp EEG (Electro Encephalogram) and MRI (Magnetic Resonance Imaging) of Brain. All patients were managed by amygdalohippocampectomy plus standard anterior lobectomy. All patients are seizure and disease free till last follow up. Keyword: Intractable temporal lobe epilepsy; Mesial temporal sclerosis; Microneurosurgical management; Amygdalohippocampectomy. DOI: 10.3329/jom.v12i1.6934J Medicine 2011; 12 : 61-65

scholarly journals Neurosurgical Management of Intractable Temporal Lobe Epilepsy by Amygdalohippocampectomy Plus Anterior Temporal Lobectomy: Report of Initial Three Pediatric Cases with Short Literature Review

2012 ◽  
Vol 35 (1) ◽  
pp. 26-31 ◽  
Author(s):  
FH Chowdhury ◽  
MR Haque ◽  
SMNK Chowdhury ◽  
AR Dey ◽  
AC Sarker ◽  
...  
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Venous Malformation ◽  
Complex Partial Seizure ◽  
Temporal Lobectomy ◽  
Mesial Temporal Sclerosis ◽  
Low Grade ◽  
Anterior Temporal Lobectomy ◽  
Magnetic Resonance Imaging Mri ◽  
Psychomotor Epilepsy

Temporal Lobe Epilepsy (TLE) is one of the most common surgical epilepsy that is usually resistant to antiepileptic drugs and surgery is the treatment of choice. This type of epilepsy may be due to Mesial Temporal Sclerosis (MTS), tumors [i.e. low grade glioma, Arterio-Venous Malformation (AVM) etc],trauma, infection (Tuberculosis),parasitic infestation (e.g. Schistosomiasis) etc. Here we report three cases of surgically treated TLE in pediatric age that was due to MTS and low grade ganglioglioma. In all three cases the only presenting symptom was complex partial seizure (Psychomotor epilepsy) for which all underwent scalp electro-encephalography (EEG) and Magnetic Resonance Imaging (MRI) of Brain. All three patients were managed by amygdalohippocampectomy plus standard anterior lobectomy. In post operative period the cases were seizure and disease free till last follow up. We did not face any nominal dysphasia, memory disturbances, hemi paresis or visual field defect. DOI: http://dx.doi.org/10.3329/bjch.v35i1.10370 BJCH 2011; 35(1): 26-31

TEMPORAL LOBE SURGERY FOR INTRACTABLE EPILEPSY IN CHILDREN

Neurosurgery ◽  
2006 ◽  
Vol 59 (6) ◽  
pp. 1203-1214 ◽  
Author(s):  
Mony Benifla ◽  
Hiroshi Otsubo ◽  
Ayako Ochi ◽  
Shelly K. Weiss ◽  
Elizabeth J. Donner ◽  
...  
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Intractable Epilepsy ◽  
Temporal Lobectomy ◽  
Seizure Outcome ◽  
Mesial Temporal Sclerosis ◽  
Low Grade ◽  
Cavernous Malformations ◽  
The Mean ◽  
Secondary Generalization

Abstract OBJECTIVE Temporal lobectomy is a well-established neurosurgical procedure for temporal lobe epilepsy. In this study, we conducted a retrospective review of children with drug-resistant temporal lobe epilepsy to evaluate seizure outcome after temporal lobe surgery. METHODS We reviewed the medical records of 126 children who had surgery for temporal lobe epilepsy at The Hospital for Sick Children between 1983 and 2003. The records were examined for preoperative and intraoperative factors that could predict patient outcome after surgery. RESULTS The mean age at seizure onset was 5.9 years. The mean seizure duration before surgery was 5.6 years. All patients had preoperative computed tomographic scans, magnetic resonance imaging scans, or both. The mean age at the time of surgery was 13.5 years. Sixty-two patients underwent left temporal resections and 64 patients underwent right temporal resections. The histopathology of the temporal resections revealed low-grade brain tumors in 65 children (52%) and cavernous malformations in four children. Ganglioglioma and astrocytoma were the most common tumors encountered. Mesial temporal sclerosis was found in 16 patients (13%), astrogliosis in 15 patients (12%), and cortical dysplasia in eight patients (7%). Postoperative follow-up of at least 2 years was available for 106 patients and ranged up to 13.0 years. Seventy-four percent of patients had an Engel Class I or II outcome. Patients with temporal lobe lesions had better outcomes compared with those without lesions (P< 0.05). Patients without a history of secondary generalization of seizures also had a better outcome when compared with those with secondary generalization. Complications in the form of contralateral homonymous hemianopsia, dysphasia, and infection were found in 5% of patients. Twelve patients had a second temporal lobe procedure for intractable recurrent seizures. After a second procedure, seven patients returned to a seizure-free state. CONCLUSION Temporal lobe resections for epilepsy in children are effective and safe procedures, with a favorable impact on seizure control. Repeat temporal resections for recurrent seizures may also be effective in restoring a seizure-free outcome to children.

scholarly journals Intractable Temporal Lobe Epilepsy from Benign and Malignant Amygdalo-hippocampal Anglioglioma; Icroneurosurgical Management. A Report of Two Cases with Short Literature Review

2014 ◽  
Vol 31 (4) ◽  
pp. 214-218
Author(s):  
FH Chowdhury ◽  
MR Haque ◽  
NC Shaha ◽  
KA Kawsar
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Complex Partial Seizure ◽  
Dysembryoplastic Neuroepithelial Tumor ◽  
Mesial Temporal Sclerosis ◽  
Low Grade ◽  
High Grade ◽  
Presenting Symptoms ◽  
Scalp Eeg ◽  
Psychomotor Epilepsy

Epilepsy patients are usually managed medically but some cases are resistant to medical treatment and needs surgical treatment. Temporal lobe epilepsy (TLE) is commonly intractable. The underlying cause may be mesial temporal sclerosis(MTS), cortical dysplasia(CD), tumors (ganglioglioma, dysembryoplastic neuroepithelial tumor- DNET), post traumatic gliosis, infection (tuberculosis) parasitic infestation (schistosomiasis, neurocystocercosis) etc. In this type of epilepsy surgery is the treatment of choice (even there is no symptoms other than seizure). Here we report two cases of surgically treated TLE that were due to low grade ganglioglioma and high grade ganglioglioma. In both cases the only presenting symptoms was complex partial seizure (Psychomotor epilepsy) for which they underwent scalp EEG (Electro Encephalography) and MRI (Magnetic Resonance Imaging) of brain. Both patients were managed by complete tumor excision with amygdalohippocampectomy plus standard anterior lobectomy. One patient with high grade ganglioglioma recurred within two months of operation and expired within five months. The other case was seizure and disease free till last follow up. DOI: http://dx.doi.org/10.3329/jbcps.v31i4.21007 J Bangladesh Coll Phys Surg 2013; 31: 214-218

Failure of low-dose radiosurgery to control temporal lobe epilepsy

2001 ◽  
Vol 95 (5) ◽  
pp. 883-887 ◽  
Author(s):  
Kensuke Kawai ◽  
Ichiro Suzuki ◽  
Hiroki Kurita ◽  
Masahiro Shin ◽  
Nobutaka Arai ◽  
...  
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Medial Temporal Lobe ◽  
Intractable Epilepsy ◽  
Temporal Lobectomy ◽  
Parahippocampal Gyrus ◽  
Target Area ◽  
Anterior Temporal Lobectomy ◽  
Content Type ◽  
Optimal Target

✓ Radiosurgical treatment of intractable epilepsy has emerged as a noninvasive alternative to resection. Although gamma knife surgery (GKS) reportedly is effective when the radiation dose is sufficient to cause a destructive reaction in the targeted medial temporal lobe, the optimal target area and dose distribution are largely unknown. Some investigators have suggested that focused irradiation from a nondestructive dose is also effective. In this article the authors report two cases of medial temporal lobe epilepsy in which the patients underwent GKS performed using a 50% marginal dose of 18 Gy covering the amygdala, hippocampal head and body, and parahippocampal gyrus. In both cases this procedure failed to control seizures. Both patients became seizure free after undergoing anterior temporal lobectomy 30 and 16 months, respectively, after radiosurgery.

scholarly journals Anterior temporal lobectomy versus selective amygdalohippocampectomy in patients with mesial temporal lobe epilepsy

2015 ◽  
Vol 74 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Fábio A. Nascimento ◽  
Luana Antunes Maranha Gatto ◽  
Carlos Silvado ◽  
Maria Joana Mäder-Joaquim ◽  
Marlus Sidney Moro ◽  
...  
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Mesial Temporal Lobe Epilepsy ◽  
Temporal Lobectomy ◽  
Mesial Temporal Sclerosis ◽  
Anterior Temporal Lobectomy ◽  
Selective Amygdalohippocampectomy ◽  
Significant Difference ◽  
Mesial Temporal Lobe ◽  
Neuropsychological Outcomes

ABSTRACT Objective To contribute our experience with surgical treatment of patients with mesial temporal lobe epilepsy (mTLE) undergoing anterior temporal lobectomy (ATL) or selective amygdalohippocampectomy (SelAH). Method This is a retrospective observational study. The sample included patients with medically refractory mTLE due to unilateral mesial temporal sclerosis who underwent either ATL or SelAH, at Hospital de Clinicas – UFPR, from 2005 to 2012. We report seizure outcomes, using Engel classification, cognitive outcomes, using measurements of verbal and visuospatial memories, as well as operative complications. Result Sixty-seven patients (33 ATL, 34 SelAH) were studied; median follow-up was 64 months. There was no statistically significant difference in seizure or neuropsychological outcomes, although verbal memory was more negatively affected in ATL operations on patients’ dominant hemispheres. Higher number of major complications was observed in the ATL group (p = 0.004). Conclusion Seizure and neuropsychological outcomes did not differ. ATL appeared to be associated with higher risk of complications.

Significance of surgery for temporal lobe epilepsy in childhood and adolescence

1970 ◽  
Vol 33 (3) ◽  
pp. 233-252 ◽  
Author(s):  
Murray A. Falconer
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Temporal Lobectomy ◽  
Mesial Temporal Sclerosis ◽  
Childhood And Adolescence ◽  
Content Type ◽  
Pathological Lesion ◽  
Fine Print

✓ The problem of childhood temporal lobe epilepsy is reviewed and illustrated from three cases in which the patients were freed from fits by temporal lobectomy. The pathological lesion (mesial temporal sclerosis) is discussed and the likelihood that many adult cases have gone unrecognized in childhood is emphasized.

Factors influencing the occurrence of schizophrenia-like psychosis in patients with temporal lobe epilepsy

1975 ◽  
Vol 5 (3) ◽  
pp. 249-254 ◽  
Author(s):  
David C. Taylor
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Temporal Lobectomy ◽  
Mesial Temporal Sclerosis ◽  
Left Handedness ◽  
Left Handed ◽  
Factors Influencing ◽  
Psychomotor Epilepsy

SynopsisFrom a series of 255 patients who had undergone temporal lobectomy for the relief of intractable psychomotor epilepsy, all 47 patients with ‘alien tissue’ (small tumours, hamartomas, focal dysplasia) in the resected temporal lobe were contrasted with a group of 41 patients who showed mesial temporal sclerosis in their resected lobe. Five per cent of the mesial temporal sclerosis group and 23% of the alien tissue group were psychotic. A marked interaction occurred between psychosis and ‘left handedness’. In the alien tissue group, females, especially left-handed females, were the most likely to have developed a schizophrenia-like psychosis.

scholarly journals Temporal Lobe Epilepsy Semiology

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Robert D. G. Blair
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Focal Epilepsy ◽  
Intractable Epilepsy ◽  
Febrile Seizures ◽  
Mesial Temporal Sclerosis ◽  
Careful Study ◽  
Seizure Onset ◽  
Seizure Semiology ◽  
Seizure Onset Zone

Epilepsy represents a multifaceted group of disorders divided into two broad categories, partial and generalized, based on the seizure onset zone. The identification of the neuroanatomic site of seizure onset depends on delineation of seizure semiology by a careful history together with video-EEG, and a variety of neuroimaging technologies such as MRI, fMRI, FDG-PET, MEG, or invasive intracranial EEG recording. Temporal lobe epilepsy (TLE) is the commonest form of focal epilepsy and represents almost 2/3 of cases of intractable epilepsy managed surgically. A history of febrile seizures (especially complex febrile seizures) is common in TLE and is frequently associated with mesial temporal sclerosis (the commonest form of TLE). Seizure auras occur in many TLE patients and often exhibit features that are relatively specific for TLE but few are of lateralizing value. Automatisms, however, often have lateralizing significance. Careful study of seizure semiology remains invaluable in addressing the search for the seizure onset zone.

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