Clinically Significant Visual Deficits after Laser Interstitial Thermal Therapy for Mesiotemporal Epilepsy.

ABSTRACT:

Background

Laser interstitial thermal therapy (LITT) has recently gained popularity as a minimally invasive surgical option for the treatment of mesiotemporal epilepsy (mTLE). Similar to traditional open procedures for epilepsy, the most frequent neurological complications of LITT are visual deficits; however, a critical analysis of these injuries is lacking.

Objectives

To evaluate the visual deficits that occur after LITT for mTLE and their etiology.

Method

We surveyed five academic epilepsy centers that regularly perform LITT for cases of self-reported postoperative visual deficits. For these patients all pre-, intra- and postoperative MRIs were co-registered with an anatomic atlas derived from 7T MRI data. This was used to estimate thermal injury to early visual pa

SUBMITTER: Jermakowicz WJ 

PROVIDER: S-EPMC7998682 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature