Cisternal, vascular, and parenchymal landmarks in amygdalohippocampectomy for mesial temporal sclerosis: an index case with learnings from 820 resections

Cortico-amygdalo-hippocampectomy is the most common epilepsy surgery resection in adults and offers excellent outcomes. Seizure outcome benefits range from 75% to 88% with a 2%-4% adverse event rate. The safety profile and outcomes could be enhanced further by clearly defining key surgical landmarks...

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Bibliographic Details
Published in:Neurosurgical Focus: Video 2024-07, Vol.11 (1), p.V6
Main Authors: Sadashiv, Akhade Bhushan, Dasarathan, Lokesh Vellore, Vilanilam, George Chandy, Scaria, Sam, Kesavapisharady, Krishnakumar, Venkat, Easwer Hariharan
Format: Article
Language:English
Online Access:Get full text
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Summary:Cortico-amygdalo-hippocampectomy is the most common epilepsy surgery resection in adults and offers excellent outcomes. Seizure outcome benefits range from 75% to 88% with a 2%-4% adverse event rate. The safety profile and outcomes could be enhanced further by clearly defining key surgical landmarks that could also aid tumoral resections in the mesial temporal lobe and selective mesial resections. The authors present their learnings of intraoperative landmarks (cisternal, parenchymal, and vascular) and surgical substeps through an index case of cortico-amygdalo-hippocampectomy with lessons from 820 resections. The video can be found here: https://stream.cadmore.media/r10.3171/2024.4.FOCVID2428.
ISSN:2643-5217
2643-5217
DOI:10.3171/2024.4.FOCVID2428