Surgery for Complex Partial Seizures
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In this paper, my intention is to cover many of the generic aspects of the surgery for complex partial seizures (CPSs), as opposed to specific results. Results will be referred to, but the paper will not consist of an analysis of these results in detail. The rationale for the resective surgery of epilepsy is embodied in the methodology of that resection, i.e., the use of the so-called technique of subpial dissection. The rationale for this, the implications of it, and the varying techniques which may be used in carrying it out will be discussed. The surgical anatomy of the anterior temporal lobe, the commonest resection for CPSs, will be referred to specifically, because of the implications in the removal of seizure foci in the temporal limbic structures with respect to the consequent relief of seizures. Finally, there are a number of controversies that exist within the field of surgery for CPSs and these will be referred to briefly.
KeywordsTemporal Lobe Complex Partial Seizure Surgical Anatomy Temporal Lobectomy Resection Line
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