Advertisement

Experiences with the Treatment of Complex Partial Seizures by Selective Amygdalo-Hippocampectomy

  • R. R. Renella
  • H. Friedrich
  • S. Hussein
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 15)

Abstract

Treatment of temporomesial epileptogenic lesions has gained increasingly in significance during the past 10 years. The results of neurophy-siological research into the limbic system have provided us with a general idea of the pathogenesis of complex partial seizures (CPSs). Thus the term “lesion” has shifted from denoting space-occuping lesions in anatomical compartments to undefined lesions in functionally relevant areas (1, 2, 4, 5, 6). The microsurgical consequence of this neu-rophysiological progress in diagnosis was the development of a selective procedure for treatment of CPSs by YASARGIL and WIESER (9, 10). This paper reports our first experiences with selective amygdalohippocampectomy for lesions and functional disturbances in mesiolimbic areas.

Keywords

Temporal Lobe Epilepsy Complex Partial Seizure Sylvian Fissure Superior Cerebellar Artery Temporal Horn 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Akert K (1980) Anatomische und physiologische Grundlagen zum Problem der psychomotorischen Epilepsien und des Status psychomotoricus. In: Karbowski K (ed) Status psychomotoricus. Huber, Bern, pp 9–38Google Scholar
  2. 2.
    Engel J, Kühl DE, Phelps ME, Maziotta JC (1982) Interictal cerebral glucose metabolism in partial epilepsy and its relations to EEG changes. Ann Neurol 12:510–517PubMedCrossRefGoogle Scholar
  3. 3.
    Hussein S, Renella RR (1986) Seltene Verlaufsvarianten der Arteria chorioidea anterior. In: Kühnel W (ed) Verhandlungen der anatomischen Gesellschaft, vol 81. Fischer, Jena (to be published)Google Scholar
  4. 4.
    Speckmann EJ, Elger CE (1984) The neurophysiological basis of epileptic activity: a condensed overview. In: Degen R, Nidermeyer E (eds) Epilepsy, sleep and sleep deprivation. Elsevier, Amsterdam New York Oxford, pp 23–34Google Scholar
  5. 5.
    Talairach J, Bancaud J, Szikla G, Bonis A, Geier S, Vedrene C (1974) Approche nouvelle de la neurochirurgie de l’épilepsie. Méthodologie stéréotaxique et résultats thérapeutiques. Neurochirurgie (Paris) 20 (Suppl 1):240 ppGoogle Scholar
  6. 6.
    Wieser HG (1983) Electroclinical features of the psychomotor seizure. Fischer-Butterworths, Stuttgart London, 242 ppGoogle Scholar
  7. 7.
    Wieser HG (1986) Selective amygdalohippocampectomy: indications, investigative technique and results. In: Simon L (ed) Advances and technical standards in neurosurgery, vol 13. Springer, Wien New York, pp 39–133CrossRefGoogle Scholar
  8. 8.
    Wieser HG, Elger CE, Stodieck SRG (1985) The foramen ovale electrode: a new recording method for the preoperative evaluation of patients suffering from mesio-basal temporal lobe epilepsy. Electro-encephalogr Clin Neurophysiol 61:314–322CrossRefGoogle Scholar
  9. 9.
    Wieser HG, Yasargil MG (1982) Selective amygdalohippocampectomy as a surgical treatment of mesiobasal limbic epilepsy. Surg Neurol 17:445–457PubMedCrossRefGoogle Scholar
  10. 10.
    Yasargil MG, Teddy PJ, Roth P (1985) Selective amygdalohippocampectomy. I: Operative anatomy and surgical technique. In: Simon L (ed) Advances and technical standards in neurosurgery, vol 12. Springer, Wien New York, pp 93–123CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • R. R. Renella
    • 1
  • H. Friedrich
    • 1
  • S. Hussein
    • 1
  1. 1.Neurochirurgische KlinikMedizinische Hochschule HannoverHannover 61Germany

Personalised recommendations