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Temporal lobectomy

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https://www.readbyqxmd.com/read/29769251/systematic-review-and-network-meta-analysis-of-resective-surgery-for-mesial-temporal-lobe-epilepsy
#1
Puneet Jain, George Tomlinson, Carter Snead, Beate Sander, Elysa Widjaja
OBJECTIVE: To evaluate the effectiveness of anterior temporal lobectomy (ATL) versus selective amygdalohippocampectomy (SAH) on seizure-free outcome in patients with temporal lobe epilepsy, using both direct and indirect evidence from the literature. METHODS: MEDLINE, Embase and Cochrane databases were searched for original research articles and systematic reviews comparing ATL versus SAH, and ATL or SAH versus medical management (MM). The outcome was seizure freedom at 12 months of follow-up or longer...
May 16, 2018: Journal of Neurology, Neurosurgery, and Psychiatry
https://www.readbyqxmd.com/read/29747704/pseudobulbar-affect-due-to-skull-base-meningioma-resolving-after-temporal-lobectomy-for-epilepsy
#2
Islam Hassan, Ramesh Sahjpaul, Jing E Tan, Farzad Moien Afshari
No abstract text is available yet for this article.
May 11, 2018: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/29729534/the-surgical-outcome-of-patients-with-bilateral-temporal-lobe-epilepsy
#3
Xiaoxia Zhou, Tao Yu, Guojun Zhang, Duanyu Ni, Liang Qiao, Xueyuan Wang, Cuiping Xu, Chang Liu, Yuping Wang, Yongjie Li
OBJECTIVES: The purpose of this study is to explore the surgical outcome of unilateral anterior temporal lobectomy (ATL) for patients with bilateral temporal lobe epilepsy (BTLE). METHODS: We retrospectively reviewed the data of patients who were diagnosed with BTLE by scalp electroencephalogram (EEG) and underwent ATL from 2001 to 2015. In addition, 80 patients were randomly selected as a control group. RESULTS: One hundred seventeen patients were included in this study and were divided into four groups by intracranial recordings as follows: 78 patients with unilateral seizure onset (Group 1), 13 patients with lateralizable dominant seizure onset (Group 2), 14 patients with lateralizable neuroimaging abnormalities (Group 3), and 12 patients without lateralizable dominant seizure onset or neuroimaging abnormalities (Group 4)...
April 26, 2018: Epilepsy Research
https://www.readbyqxmd.com/read/29649646/simultaneous-treatment-of-epilepsy-and-secondary-dystonia-after-anterior-temporal-lobectomy-and-amygdalohippocampectomy
#4
Lily Rasouli, Jonathan J Rasouli, Fedor Panov, Ji Yeoun Yoo, Patricia E McGoldrick, Saadi Ghatan
BACKGROUND: The relationship between temporal lobe epilepsy and focal limb dystonia is a well-recognized phenomenon, yet its pathogenesis and anatomical foundation are not well understood. Here, we describe two patients with refractory focal epilepsy and contralateral focal limb dystonia whose seizures and dystonic symptoms simultaneously resolved after anterior temporal lobectomy and amygdalohippocampectomy (ATLAH). CASE DESCRIPTION: We identified two patients within the Mount Sinai Health system with improvement in dystonia after medial temporal lobectomy...
April 9, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29623432/visual-field-deficits-after-epilepsy-surgery-a-new-quantitative-scoring-method
#5
Rick H G J van Lanen, M C Hoeberigs, N J C Bauer, R H L Haeren, G Hoogland, A Colon, C Piersma, J T A Dings, O E M G Schijns
BACKGROUND: Anterior temporal lobectomy (ATL) as a treatment for drug-resistant temporal lobe epilepsy (TLE) frequently causes visual field deficits (VFDs). Reported VFD encompasses homonymous contralateral upper quadrantanopia. Its reported incidence ranges from 15 to 90%. To date, a quantitative method to evaluate postoperative VFD in static perimetry is not available. A method to quantify postoperative VFD, which allows for comparison between groups of patients, was developed. METHODS: Fifty-five patients with drug-resistant TLE, who underwent ATL with pre- and postoperative perimetry, were included...
April 5, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29621926/social-perception-in-mesial-temporal-lobe-epilepsy-interpreting-social-information-from-moving-shapes-and-biological-motion
#6
Aleksandra Bala, Łukasz Okruszek, Aleksandra Piejka, Aldona Głębicka, Ewa Szewczyk, Katarzyna Bosak, Marta Szantroch, Sylwia Hyniewska, Andrzej Rysz, Andrzej Marchel
Dysfunction in the understanding of social signals has been reported in persons with epilepsy, which may partially explain lower levels of life satisfaction in this patient population. Extensive assessment is necessary, particularly when the mesial temporal lobe, responsible for emotion processing, is affected. The authors examined multiple levels of social perception in patients with mesial temporal lobe epilepsy (MTLE), including judgments of point-light motion displays of human communicative interactions (Communicative Interactions Database-5 Alternative Forced Choice format) and theory-of-mind processes evaluated using geometric shapes (Frith-Happé animations [FHA])...
April 6, 2018: Journal of Neuropsychiatry and Clinical Neurosciences
https://www.readbyqxmd.com/read/29600809/radiosurgery-versus-open-surgery-for-mesial-temporal-lobe-epilepsy-the-randomized-controlled-rose-trial
#7
Nicholas M Barbaro, Mark Quigg, Mariann M Ward, Edward F Chang, Donna K Broshek, John T Langfitt, Guofen Yan, Kenneth D Laxer, Andrew J Cole, Penny K Sneed, Christopher P Hess, Wei Yu, Manjari Tripathi, Christianne N Heck, John W Miller, Paul A Garcia, Andrew McEvoy, Nathan B Fountain, Vincenta Salanova, Robert C Knowlton, Anto Bagić, Thomas Henry, Siddharth Kapoor, Guy McKhann, Adriana E Palade, Markus Reuber, Evelyn Tecoma
OBJECTIVE: To compare stereotactic radiosurgery (SRS) versus anterior temporal lobectomy (ATL) for patients with pharmacoresistant unilateral mesial temporal lobe epilepsy (MTLE). METHODS: This randomized, single-blinded, controlled trial recruited adults eligible for open surgery among 14 centers in the USA, UK, and India. Treatment was either SRS at 24 Gy to the 50% isodose targeting mesial structures, or standardized ATL. Outcomes were seizure remission (absence of disabling seizures between 25 and 36 months), verbal memory (VM), and quality of life (QOL) at 36-month follow-up...
March 30, 2018: Epilepsia
https://www.readbyqxmd.com/read/29599982/solitary-primary-intracranial-leptomeningeal-glioblastoma-invading-the-normal-cortex-case-report
#8
Takamichi Katsuhara, Nobuhiro Moro, Takashi Ohta, Taku Homma, Atsuo Yoshino
Solitary primary intracranial leptomeningeal glioma (PLG) is a rare entity of glioma. PLG arises from the heterotopic glial tissue in the subarachnoid space and usually grows there without parenchymal invasion. The present study reported a case of solitary PLG, pathologically diagnosed as glioblastoma, that invaded the temporal cortex and finally disseminated to the spinal cord. A 55-year-old woman had headaches and visited Nihon University, Itabashi Hospital. Head magnetic resonance imaging showed a solid mass mainly located in the right middle fossa extending to the frontal base with strong enhancement effect after contrast medium injection...
March 2018: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/29550987/progress-in-the-treatment-and-outcomes-for-early-stage-non-small-cell-lung-cancer
#9
Jacob Y Shin, Ja Kyoung Yoon, Gaurav Marwaha
PURPOSE: The purpose of this study is to assess temporal trends in population-based treatment and survival rates in patients with early-stage non-small cell lung cancer (NSCLC). METHODS: Data were extracted from the Surveillance, Epidemiology, and End Results (SEER) database. Chi-square test, Kaplan-Meier method, and Cox regression models were employed in SPSS 23.0. RESULTS: Fifty-seven thousand and eighty-eight NSCLC patients with early-stage disease from 1988 to 2014 were identified...
June 2018: Lung
https://www.readbyqxmd.com/read/29537075/histopathologic-subtype-of-hippocampal-sclerosis-and-episodic-memory-performance-before-and-after-temporal-lobectomy-for-epilepsy
#10
Shahram Saghafi, Lisa Ferguson, Olivia Hogue, Jordan M Gales, Richard Prayson, Robyn M Busch
OBJECTIVE: The International League Against Epilepsy (ILAE) proposed a classification system for hippocampal sclerosis (HS) based on location and extent of hippocampal neuron loss. The literature debates the usefulness of this classification system when studying memory in people with temporal lobe epilepsy (TLE) and determining memory outcome after temporal lobe resection (TLR). This study further explores the relationship between HS ILAE subtypes and episodic memory performance in patients with TLE and examines memory outcomes after TLR...
April 2018: Epilepsia
https://www.readbyqxmd.com/read/29534521/epilepsy-surgery-for-skull-base-temporal-lobe-encephaloceles-should-we-spare-the-hippocampus-from-resection
#11
Firas Bannout, Sheri Harder, Michael Lee, Alexander Zouros, Ravi Raghavan, Travis Fogel, Kenneth De Los Reyes, Travis Losey
The neurosurgical treatment of skull base temporal encephalocele for patients with epilepsy is variable. We describe two adult cases of temporal lobe epilepsy (TLE) with spheno-temporal encephalocele, currently seizure-free for more than two years after anterior temporal lobectomy (ATL) and lesionectomy sparing the hippocampus without long-term intracranial electroencephalogram (EEG) monitoring. Encephaloceles were detected by magnetic resonance imaging (MRI) and confirmed by maxillofacial head computed tomography (CT) scans...
March 12, 2018: Brain Sciences
https://www.readbyqxmd.com/read/29526579/the-role-of-stereoelectroencephalography-seeg-in-reevaluation-of-epilepsy-surgery-failures
#12
Lisa Vaugier, Stanislas Lagarde, Aileen McGonigal, Agnès Trébuchon, Mathieu Milh, Anne Lépine, Didier Scavarda, Romain Carron, Fabrice Bartolomei
Management of patients after initial epilepsy surgical failure is challenging. In this study, we report our experience in using the stereoelectroencephalography (SEEG) method in the reevaluation of patients after initial epilepsy surgical failure. We selected 28 patients examined through SEEG in our department for drug-resistant focal epilepsy following initial epilepsy surgical failure. For each patient, the residual seizure onset zone (rSOZ) as defined by SEEG was classified as either contiguous if the seizure onset zone (SOZ) was focal and close to the surgical cavity (same lobe) or noncontiguous in cases where the SOZ included site(s) distant from the surgical cavity...
April 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29499551/task-activation-and-functional-connectivity-show-concordant-memory-laterality-in-temporal-lobe-epilepsy
#13
Noah Sideman, Ganne Chaitanya, Xiaosong He, Gaelle Doucet, Na Young Kim, Michael R Sperling, Ashwini D Sharan, Joseph I Tracy
OBJECTIVE: In epilepsy, asymmetries in the organization of mesial temporal lobe (MTL) functions help determine the cognitive risk associated with procedures such as anterior temporal lobectomy. Past studies have investigated the change/shift in a visual episodic memory laterality index (LI) in mesial temporal lobe structures through functional magnetic resonance imaging (fMRI) task activations. Here, we examine whether underlying task-related functional connectivity (FC) is concordant with such standard fMRI laterality measures...
April 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29432531/brain-tissue-plasticity-protein-synthesis-rates-of-the-human-brain
#14
Joey S J Smeets, Astrid M H Horstman, Olaf E M G Schijns, Jim T A Dings, Govert Hoogland, Annemie P Gijsen, Joy P B Goessens, Freek G Bouwman, Will K W H Wodzig, Edwin C Mariman, Luc J C van Loon
All tissues undergo continuous reconditioning via the complex orchestration of changes in tissue protein synthesis and breakdown rates. Skeletal muscle tissue has been well studied in this regard, and has been shown to turnover at a rate of 1-2% per day in vivo in humans. Few data are available on protein synthesis rates of other tissues. Because of obvious limitations with regard to brain tissue sampling no study has ever measured brain protein synthesis rates in vivo in humans. Here, we applied stable isotope methodology to directly assess protein synthesis rates in neocortex and hippocampus tissue of six patients undergoing temporal lobectomy for drug-resistant temporal lobe epilepsy (Clinical trial registration: NTR5147)...
April 1, 2018: Brain: a Journal of Neurology
https://www.readbyqxmd.com/read/29379392/epilepsy-surgery-in-hospital-universiti-sains-malaysia-our-experiences-since-2004
#15
Ang Song Yee, John Tharakan, Zamzuri Idris, Shalini Bhaskar, Sanihah Abdul Halim, Salmi Abd Razak, Zabidi Azhar Mohd Hussin, Regunath Kandasamy, Wan Mohd Nazaruddin Wan Hassan, Laila Mukmin, Mohamad Hasyizan Hassan, Tan Yew Chin, Badrisyah Idris, Abdul Rahman Izaini Ghani, Hillol Kanti Pal, Jain George, Sani Sayuthi, Mohamed Saufi Awang, Jafri Malin Abdullah
Epilepsy surgery has been performed by a few centres in Malaysia, including Hospital Universiti Sains Malaysia (HUSM). To date, a total of 15 patients have undergone epilepsy surgery in HUSM. The epilepsy surgery included anterior temporal lobectomy (ATL) with amygdalohippocampectomy (AH) and Vagal nerve stimulation (VNS). The surgical outcomes of the patients were assessed using the International League Against Epilepsy (ILAE) outcome scale. The ILAE scores for patients who underwent ATL with AH were comparatively better than those who underwent VNS...
December 2017: Malaysian Journal of Medical Sciences: MJMS
https://www.readbyqxmd.com/read/29378446/characterizing-eeg-cortical-dynamics-and-connectivity-with-responses-to-single-pulse-electrical-stimulation-spes
#16
Gonzalo Alarcón, Diego Jiménez-Jiménez, Antonio Valentín, David Martín-López
OBJECTIVES: To model cortical connections in order to characterize their oscillatory behavior and role in the generation of spontaneous electroencephalogram (EEG). METHODS: We studied averaged responses to single pulse electrical stimulation (SPES) from the non-epileptogenic hemisphere of five patients assessed with intracranial EEG who became seizure free after contralateral temporal lobectomy. Second-order control system equations were modified to characterize the systems generating a given response...
November 23, 2017: International Journal of Neural Systems
https://www.readbyqxmd.com/read/29360612/intracranial-electrodes-monitoring-improves-seizure-control-and-complication-outcomes-for-patients-with-temporal-lobe-epilepsy-a-retrospective-cohort-study
#17
Yan-En Lyu, Xiao-Fei Xu, Shuang Dai, Xiao-Bo Dong, Shao-Ping Shen, Yao Wang, Chong Liu
BACKGROUND: Anterior temporal lobectomy (ATL) is the standard surgical treatment for temporal lobe epilepsy (TLE), but patients may suffer from recurrent seizures post-surgery. Invasive electrical monitoring plays a critical role in precisely identifying the epileptic foci. This study aimed to evaluate and compare the benefits of long-term invasive electroencephalography (EEG) monitoring and two-stage surgery with the classical approach to examine their effect on post-surgical brain function and complications...
March 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29351584/the-roles-of-left-versus-right-anterior-temporal-lobes-in-semantic-memory-a-neuropsychological-comparison-of-postsurgical-temporal-lobe-epilepsy-patients
#18
Grace E Rice, Helen Caswell, Perry Moore, Paul Hoffman, Matthew A Lambon Ralph
The presence and degree of specialization between the anterior temporal lobes (ATLs) is a key issue in debates about the neural architecture of semantic memory. Here, we comprehensively assessed multiple aspects of semantic cognition in a large group of postsurgical temporal lobe epilepsy (TLE) patients with left versus right anterior temporal lobectomy (n = 40). Both subgroups showed deficits in expressive and receptive verbal semantic tasks, word and object recognition, naming and recognition of famous faces and perception of faces and emotions...
April 1, 2018: Cerebral Cortex
https://www.readbyqxmd.com/read/29341105/metabolomic-characterization-of-human-hippocampus-from-drug-resistant-epilepsy-with-mesial-temporal-seizure
#19
Julien Detour, Caroline Bund, Charles Behr, Hélène Cebula, Ercument A Cicek, Maria-Paola Valenti-Hirsch, Béatrice Lannes, Benoît Lhermitte, Astrid Nehlig, Pierre Kehrli, François Proust, Edouard Hirsch, Izzie-Jacques Namer
OBJECTIVE: Within a complex systems biology perspective, we wished to assess whether hippocampi with established neuropathological features have distinct metabolome. Apparently normal hippocampi with no signs of sclerosis (noHS), were compared to hippocampal sclerosis (HS) type 1 (HS1) and/or type 2 (HS2). Hippocampus metabolome from patients with epilepsy-associated neuroepithelial tumors (EANTs), namely, gangliogliomas (GGs) and dysembryoplastic neuroepithelial tumors (DNTs), was also compared to noHS epileptiform tissue...
March 2018: Epilepsia
https://www.readbyqxmd.com/read/29336393/cardiac-surgery-in-a-patient-with-implanted-vagal-nerve-stimulator
#20
Aashish Jain, Dheeraj Arora, Yatin Mehta
The prevalence of epilepsy worldwide is around 0.5%-2% of the population. Antiepileptic medications are the first line of treatment in most of the cases but approximately 25%-30% epilepsy patients are refractory to the single or combination therapy. The surgical option for temporal lobe epilepsy is temporal lobectomy, which has its inherent risk of neurological deficits after the surgery. Patients who are either refractory to combination therapy or do not want surgical temporal lobectomy are the candidates for electrical stimulation therapy...
January 2018: Annals of Cardiac Anaesthesia
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