Transcortical selective amygdalohippocampectomy technique through the middle temporal gyrus revisited: An anatomical study laboratory investigation

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dc.citation.volume34
dc.contributor.authorBozkurt, Baran
dc.contributor.authorCenteno, Ricardo Silva [UNIFESP]
dc.contributor.authorChaddad Neto, Feres Eduardo Aparecido [UNIFESP]
dc.contributor.authorCosta, Marcos Devanir Silva da [UNIFESP]
dc.contributor.authorGoiri, Marcelo Augusto Acosta [UNIFESP]
dc.contributor.authorKaradag, Ali
dc.contributor.authorTugcu, Bekir
dc.contributor.authorOvalioglu, Talat Cem
dc.contributor.authorTanriover, Necmettin
dc.contributor.authorKaya, Serdar
dc.contributor.authorYagmurlu, Kaan
dc.contributor.authorGrande, Andrew
dc.coverageOxford
dc.date.accessioned2020-07-31T12:47:12Z
dc.date.available2020-07-31T12:47:12Z
dc.date.issued2016
dc.description.abstractThe anterior temporal lobectomy (ATL) and selective amygdalohippocampectomy (SeIAH) have been used for surgical treatment of mesial temporal lobe epilepsy. We examined the comprehensive white matter tract anatomy of the temporal lobe to gain an insight into the trans-middle temporal gyrus, a lateral approach which has been commonly used. The transmiddle temporal gyrus approach was performed in a stepwise manner on cadaveric human heads to examine the traversing white matter pathways through it and the structures located in the temporal horn. We reviewed the literature to compare the trans-middle temporal gyrus approach with other SeIAH techniques based on surgical outcomes. There does not appear to be a significant difference in seizure outcome between SeIAH and ATL. However, the SeIAH provides a better neuropsychological outcomes than the ATL in selected patients. Each SeIAH approach has individual advantages and disadvantages. Based on our anatomical study, in the transcortical amygdalohippocampectomy technique through the middle temporal gyrus the white matter pathways to be encountered. In the temporal horn, the collateral eminence, hippocampus, lateral ventricular sulcus, choroidal fissure, inferior choroidal point, choroid plexus, fimbria of the fornix, and amygdala are exposed. The subpial dissection is performed along the lateral ventricular sulcus from the collateral eminence on lateral side and from the choroidal fissure on medial side by microdissector for en bloc resection of the hippocampus proper. The trans-middle temporal gyrus approach is commonly used in treatment of mesial temporal lobe epilepsy patients. A better anatomical and functional understanding of the structures of the temporal lobe is crucial for safer and more accurate surgery. (C) 2016 Elsevier Ltd. All rights reserved.en
dc.description.affiliationUniv Minnesota, Dept Neurosurg, Mayo Bldg,4th Floor 420 Deliware St SE, Minneapolis, MN 55455 USA
dc.description.affiliationUniv Fed Sao Paulo, Dept Neurosurg, Sao Paulo, Brazil
dc.description.affiliationBakirkoy Res & Training Hosp Neurol Neurosurg & P, Dept Neurosurg, Istanbul, Turkey
dc.description.affiliationIstanbul Univ, Cerrahpasa Med Sch, Dept Neurosurg, Istanbul, Turkey
dc.description.affiliationUniv Minnesota, Dept Otolaryngol, Minneapolis, MN USA
dc.description.affiliationSt Josephs Hosp, Barrow Neurol Inst, Dept Neurosurg, Phoenix, AZ USA
dc.description.affiliationUnifespDepartment of Neurosurgery, Universidade Federal de São Paulo (UNIFESP), Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent237-245
dc.identifierhttp://dx.doi.org/10.1016/j.jocn.2016.05.035
dc.identifier.citationJournal Of Clinical Neuroscience. Oxford, v. 34, p. 237-245, 2016.
dc.identifier.doi10.1016/j.jocn.2016.05.035
dc.identifier.issn0967-5868
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/56660
dc.identifier.wosWOS:000389093300056
dc.language.isoeng
dc.publisherElsevier Sci Ltd
dc.relation.ispartofJournal Of Clinical Neuroscience
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectAmygdalohippocampectomyen
dc.subjectEpilepsyen
dc.subjectOptic radiationen
dc.subjectTemporal lobeen
dc.subjectWhite matteren
dc.titleTranscortical selective amygdalohippocampectomy technique through the middle temporal gyrus revisited: An anatomical study laboratory investigationen
dc.typeinfo:eu-repo/semantics/article
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