[Diagnosis and surgical treatment of temporal lobe epilepsy].

OBJECTIVE

To discuss the diagnosis and surgical treatment of temporal lobe epilepsy.

METHODS

From 1995 to 1998, 30 patients with intractable mesial temporal lobe epilepsy were identified by EEG and MR. Among them, 15 patients underwent anterior temporal lobectomy, while another 15 patients accepted selective amygdalahippocampectomy. The results of operation and follow-up were analyzed.

RESULTS

As to seizure outcome, all patients were benefited from surgery. Surgical result was satisfactory in 18 patients, notable in 11, and good in 1. There was no complication.

CONCLUSIONS

MR is beneficial for the localization of epileptic foci. Operation is an effective way for the treatment of temporal lobe epilepsy. Selective amygdalohippocampus is the first choice for medial temporal lobe epilepsy. Transzygmatic-temporal lobe base approach improves the safety of operation.