Hippocampal resection in temporal lobe epilepsy: Do we need to resect the tail?

ABSTRACT:

Introduction

Anteromesial temporal lobe resection is the most common surgical technique used to treat drug-resistant mesial temporal lobe epilepsy, particularly when secondary to hippocampal sclerosis. Structural and functional imaging data suggest the importance of sparing the posterior hippocampus for minimising language and memory deficits. Recent work has challenged the view that maximal posterior hippocampal resection improves seizure outcome. This study was designed to assess whether resection of posterior hippocampal atrophy was associated with improved seizure outcome.

Methods

Retrospective analysis of a prospective database of all anteromesial temporal lobe resections performed in individuals with hippocampal sclerosis at our epilepsy surgery centre, 2013-2021. Pre-

SUBMITTER: Dasgupta D 

PROVIDER: S-EPMC10626579 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature