Encyclopedia of Clinical Neuropsychology

2018 Edition
| Editors: Jeffrey S. Kreutzer, John DeLuca, Bruce Caplan

Temporal Lobectomy

  • Eduardo LopezEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-57111-9_75


Neurosurgical procedure involving the selected excision of the temporal lobe and adjacent areas.

Historical Background

Sir Victor Horsley performed the first neurosurgical operation in 1886. In 1947, Botterell indicated that death may be prevented by aspirating pulped temporal and frontal lobe tissue through subtemporal lobe. In 1954, Penfield and Jasper established the value of cortical excision as the preeminent neurosurgical treatment of focal epilepsies.

Current Knowledge

The decision to operate and perform a temporal lobectomy varies from an applied, well-established surgical treatment for brain tumors and seizures to the controversial surgical intervention after brain trauma and malignant stroke with limited prospective randomized trials published to recommend a procedure or surgical technique (Bullock et al. 2006). With mortality rate as high as eighty percent in some neurological conditions with conservative treatment for control of excessive brain edema...

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References and Readings

  1. Alpherts, W. C., Vermeulen, J., van Rijen, P. C., da Silva, F. H., van Veelen, C. W., & Dutch Collaborative Epilepsy Surgery Program. (2006). Verbal memory decline after temporal epilepsy surgery? A 6-year multiple assessments follow-up study. Neurology, 67, 626–631.CrossRefGoogle Scholar
  2. Bullock, R., Chestnut, R., Ghajar, J., Gordon, D., Hartl, R., Newell, D. W., et al. (2006). Surgical management of subdural hematoma. Neurosurgery, 58(3), S2-16–S2-24.Google Scholar
  3. Diaz-Arrastia, R., Agostini, M. A., & Madden, C. J. (2009). Post traumatic epilepsy: The endophenotypes of a human model of epileptogenesis. Epilepsia, 50(Suppl 2), 14–20.CrossRefGoogle Scholar
  4. Hartzfeld, P., Elisevich, K., Pace, M., Smith, B., & Gutierrez, J. A. (2008). Characteristics and surgical outcomes for medial temporal posttraumatic epilepsy. British Journal of Neurosurgery, 22(2), 224–230.CrossRefGoogle Scholar
  5. Jehi, L. E., Irwin, A. I., Kayyali, H., et al. (2012). Levetiracetam may favorably affect seizure outcome after temporal lobectomy. Epilepsia, 53(6), 979–986.CrossRefGoogle Scholar
  6. Litofsky, N. S., Chin, L. S., Tang, G., Baker, S., Giannotta, S. L., & Apuzzo, M. L. (1994). The use of lobectomy in the management of severe closed-head trauma. Neurosurgery, 34(4), 628–634.PubMedGoogle Scholar
  7. Miller, J. W., & Silbergeld, D. L. (2006). Epilepsy surgery: Principles and controversies. New York: Taylor & Francis.Google Scholar
  8. West, S., Nolan, S. J., Cotton, J., Gandhi, S., et al. (2015). Surgery for epilepsy. Cochrane Epilepsy Groups Review.Google Scholar
  9. Westerveld, M., Sass, K. J., Chelune, G. J., Hermann, B. P., Barr, W. B., Loring, D. W., et al. (2000). Temporal lobectomy in children: Cognitive outcome. Journal of Neurosurgery, 92, 24–30.CrossRefGoogle Scholar
  10. Wiebe, S., Blume, W. T., Grivin, J. P., et al. (2003). A randomized, controlled trial of surgery for temporal-lobe epilepsy. New England Journal of Medicine, 345, 311–318.CrossRefGoogle Scholar
  11. Zimmerman, R. S., & Sirven, J. I. (2003). An overview of surgery for chronic seizures. Mayo Clinic Procedures, 78, 109–117.CrossRefGoogle Scholar
  12. Zweckberger, K., Juettler, E., Bosel, J., & Unterberg, W. A. (2014). Surgical aspects of decompression craniectomy in malignant stroke: Review. Cerebrovascular Diseases, 38(5), 1–31.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Rehabilitation MedicineNew York Medical College, Metropolitan HospitalNew YorkUSA