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Anterior temporal lobectomy is the most established neurosurgical procedure for temporal lobe epilepsy. Here we describe this technique.A temporal craniotomy is performed flush with the middle fossa and exposing the Sylvian fissure. The posterior extent of resection is determined as 4.5 cm in the dominant temporal lobe and 5.5 cm in the nondominant one.
Schaller, Karl Lothard, Cabrilo, Ivan
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Optic Tract Injury after Anterior Temporal Lobectomy
Three patients had complete homonymous hemianopia with clinical and neuroimaging characteristics of ipsilateral optic tract infarction after anterior temporal lobectomy for seizure control. This injury presumably resulted from irritative vasospasm of the anterior choroidal artery.
D R, Anderson +3 more
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Neuropsychological outcome of anterior temporal lobectomy
Journal of Epilepsy, 1988Reviews of the literature have suggested that, following anterior temporal lobectomy (ATL) for treatment of medically intractable epilepsy, most cognitive functions remain unchanged, some exhibit a relative loss compared to preoperative levels, and some cognitive functions improve.
Bruce P Hermann, Allen R Wyler
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Anterior Temporal Lobectomy and Medically Refractory Temporal Lobe Epilepsy of Childhood
Epilepsia, 1990Summary: The evaluation and outcome of 22 patients who had onset of complex partial seizures (CPS) of temporal lobe origin in childhood and subsequently underwent anterior temporal lobectomy are described. All patients showed improved seizure control; 81.8% had a reduction ≥95% in seizure frequency. However, many patients had difficulty adjusting to a
Robert G. Grossman +2 more
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Neurocognitive Function in Children After Anterior Temporal Lobectomy With Amygdalohippocampectomy
BACKGROUND: We assessed the postoperative neurocognitive function after temporal lobectomy in children with temporal lobe epilepsy. METHODS: This was a retrospective analysis of the data of 20 patients with Engel's class I or II outcomes after anterior ...
Dong Seok Kim +2 more
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A noninvasive protocol for anterior temporal lobectomy
Neurology, 1992We report the results of a protocol for choosing candidates for temporal lobectomy using a standard battery of objective tests without intracranial electrodes. We assigned each test a level of importance, and an algorithm was used to determine whether temporal lobectomy could be performed.
M R, Sperling +7 more
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Stereopsis after anterior temporal lobectomy
Cortex, 2016Brain areas critical for stereopsis have been investigated in non-human primates but are largely unknown in the human brain. Microelectrode recordings and functional MRI (fMRI) studies in monkeys have shown that in monkeys the inferior temporal cortex is critically involved in 3D shape categorization.
Bram-Ernst Verhoef +6 more
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Aura Type and Outcome After Anterior Temporal Lobectomy
World Neurosurgery, 2022Temporal lobe epilepsy (TLE) is one of the most common causes of medically refractory focal epilepsy. Anterior temporal lobectomy (ATL) leads to improved seizure control in patients with medically refractory TLE. Various auras are associated with TLE; however, the relationships between aura type and outcome after ATL are poorly understood.
Luis F. Rendon +5 more
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Endogenous potentials after anterior temporal lobectomy
Neuropsychologia, 1987The scalp topography of endogenous potentials was studied in patients who had previously undergone unilateral anterior temporal lobectomy (ATL). These excisions include medial temporal lobe (MTL) structures that have been shown to generate large potentials during tasks that evoke P3 at the scalp.
J M, Stapleton, E, Halgren, K A, Moreno
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