Department of Neurosurgery, "Sestre milosrdnice" University Hospital Center, Vinogradska cesta 29, 10000, Zagreb, Croatia.
Acta Neurochir (Wien). 2013 Dec;155(12):2381-7. doi: 10.1007/s00701-013-1846-2. Epub 2013 Aug 29.
Surgery is superior over medicamentous treatment of pharmacoresistant mesial temporal lobe epilepsy caused by hippocampal sclerosis. The armamentarium of surgical procedures comprises standard temporal lobectomy and more selective procedures. Selective amygdalohippocampectomy can be performed via transcortical, transsylvian or subtemporal approach.
Describe the selective amygdalohippocampectomy through the subtemporal approach
After the detailed preoperative epilepsy evaluation, surgery can be offered to pharmacoresistant epilepsy patient with hippocampal sclerosis. Selective amygdalohippocampectomy can be safely performed through the subtemporal approach. The good knowledge of the mesial temporal lobe anatomy is necessary when performing this procedure.
手术优于药物治疗药物难治性海马硬化引起的内侧颞叶癫痫。手术方法包括标准的颞叶切除术和更具选择性的手术。选择性杏仁核海马切除术可通过皮质切开、经外侧裂或经颞下入路进行。
描述经颞下入路的选择性杏仁核海马切除术
在详细的术前癫痫评估后，可向海马硬化所致药物难治性癫痫患者提供手术治疗。通过颞下入路可安全地进行选择性杏仁核海马切除术。进行该手术时，需要对内侧颞叶解剖结构有很好的了解。
