Hostname: page-component-77c89778f8-7drxs Total loading time: 0 Render date: 2024-07-19T03:39:10.968Z Has data issue: false hasContentIssue false
  • English
  • Français

Selective Amygdalohippocampectomy: Indications and Follow-up

Published online by Cambridge University Press:  18 September 2015

Heinz Gregor Wieser
Heinz Gregor Wieser*
Affiliation:
Department of Neurology, University Hospital, Zürich, Switzerland
*
Neurologische Klinik, Universitätsspital, Frauenklinikstrasse 26, CH-8091 Zürich, Switzerland
Rights & Permissions [Opens in a new window]

Abstract:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Selective amygdalohippocampectomy (AHE) offers a real chance of cure only in patients with welldefined, precisely localized “epileptogenic area”, i.e. seizure focus. Therefore, a priori only a small proportion of all patients with epilepsy can meet the criteria for selective surgical interventions. From the evidence in patients meeting the criteria for AHE, we conclude that this technique is to be preferred to the “standard” anterior temporal lobectomy and represents a more selective but still effective surgical treatment of epilepsy.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 18 , Issue S4 , November 1991 , pp. 617 - 627
Copyright
Copyright © Canadian Neurological Sciences Federation 1991

References

REFERENCES

1.Jasper, HH.Localized analyses of the function of the human brain by the electroencephalogram. Arch Neurol & Psychiat 1936; 36: 1131–1134.Google Scholar
2.Penfield, W, Jasper, H.Epilepsy and the Functional Anatomy of the Human Brain. Little, Brown, Boston; 1954.CrossRefGoogle Scholar
3.Feindel, W.Temporal lobe seizures. In: Magnus, O, Lorentz de, Haas AM, eds. The Epilepsies (Handbook of Clinical Neurology, Vol. 15). North-Holland Pubi Company, Amsterdam, 1974; 87–106.Google Scholar
4.Rasmussen, T.Surgical treatment of patients with complex partial seizures. In: Penry, JK, Daly, DD, eds. Advances in Neurology. Raven Press, New York, 1975; Vol. 11, 415–449.Google Scholar
5.Gloor, P.Electroencephalography and the role of intracerebral depth electrode recordings in the selection of patients for surgical treatment of epilepsy. In: Porter, RJ, Mattson, R, Ward, AA, Dam, M, eds. Advances in Epileptology; XVth Epilepsy International Symposium. Raven Press, New York; 1984: 433–437.Google Scholar
6.Milner, B, Branch, C, Rasmussen, T.Study of Short-term memory after intracarotid injection of Sodium Amytal. Trans Am Neurol Assoc 1962; 87: 224–226.Google Scholar
7.Wieser, HG.Electroclinical features of the psychomotor seizure. Gustav Fischer-Butterworths, Stuttgart-London; 1983.Google Scholar
8.Williamson, PD, Wieser, HG, Delgado-Escueta, AV.Clinical characteristics of partial seizures. In: Engel, J Jr, ed. Surgical Treatment of the Epilepsies. Raven Press, New York; 1987; 101–120.Google Scholar
9.Wieser, HG, Moser, S.Improved multipolar foramen ovale electrode monitoring. J Epilepsy 1988; 1: 13–22.CrossRefGoogle Scholar
10.Quesney, LF, Gloor, P.Special extracranial electrodes. In: Wieser, HG, Elger, CE, eds. Presurgical Evaluation of Epileptics. Springer, Berlin, Heidelberg, New York; 1987: 162–176.CrossRefGoogle Scholar
11.Wieser, HG.Selective amygdalohippocampectomy: Indications, investigative technique and results. In: Symon, Let al., eds. Advances and Technical Standards in Neurosurgery. Springer, Vienna, New York; 1986a; Vol. 13: 39–133.CrossRefGoogle Scholar
12.Wieser, HG.Psychomotor seizures of hippocampal-amygdalar origin. In: Pedley, TA, Meldrum, BS, eds. Recent Advances in Epilepsy 3. Churchill Livingstone, Edinburgh, London, Melbourne, New York; 1986b; 57-79.Google Scholar
13.Wieser, HG.The phenomenology of limbic seizures. In: Wieser, HG, Speckman, EJ, Engel, J Jr, eds. The Epileptic Focus. John Libbey & Co, London, Paris; 1987a;113–136.Google Scholar
14.Wieser, HG, Yasargil, MG.Selective amygdalohippocampectomy as a surgical treatment of mesiobasal limbic epilepsy. Surg Neurol 1982; 17: 445–457.CrossRefGoogle ScholarPubMed
15.Yasargil, MG, Teddy, PJ, Roth, P.Selective amygdalohippocampectomy: operative anatomy and surgical technique. In: Symon, Let al., eds. Advances and Technical Standard in Neurosurgery, Vol. 12. Springer, Vienna, New York; 1985; 93–123.CrossRefGoogle Scholar
16.Wieser, HG.Selective amygdalo-hippocampectomy for temporal lobe epilepsy. Epilepsia 29, Suppl 2, 1988b; 100–113.CrossRefGoogle ScholarPubMed
17.Yasargil, MG, Wieser, HG.Selective amygdalophippocampectomy at the University Hospital, Zurich. In: Engel, J Jr, ed. Surgical Treatment of the Epilepsies. Raven Press, New York; 1987a; 653–658.Google Scholar
18.Yasargil, MG, Wieser, HG.Selective microsurgical resections. In: Wieser, HG, Elger, CE, eds. Presurgical Evaluation of Epileptics. Springer, Berlin, Heidelberg, New York; 1987b; 352–360.CrossRefGoogle Scholar
19.Siegel, AM, Wieser, HG, Wichman, W, et al. Relationship between MR-imaged total amount of tissue removed, resection scores of specific mediobasal limbic subcompartments and clinical outcome following selective amygdalohippocampectomy. Epilepsy Res 1990; 6: 55–65.CrossRefGoogle ScholarPubMed
20.Siegel, AM, Wieser, HG.A detailed follow-up study on the Ziirich amygdalhippocampectomy series. J Epilepsy (submitted); 1991.Google Scholar
21.Wieser, HG, Siegel, AM.Analysis of foramen ovale electrode recorded seizures and correlation with outcome following amygdalohippocampectomy. Epilepsia (submitted); 1990.Google Scholar
22.Yasargil, MG.Microneurosurgery, Vol. 1. Thieme, Stuttgart; 1984.Google Scholar
23.Renella, RR.Microsurgery of the Temporo Medial Region. Springer-Verlag, Wien, New York; 1989.CrossRefGoogle Scholar
24.Wieser, HG.Stereo-electroencephalography. In: Wieser, HG, Elger, CE, eds. Presurgical Evaluation of Epileptics. Springer, Berlin, Heidelberg; 1987b; 192–204.CrossRefGoogle Scholar
25.Wieser, HG, Valavanis, A, Roos, A, Isler, P, Renella, RR.“Selective” and “superselective” temporal lobe Amytal tests: 1. Neuroradiological, neuroanatomical, and electrical data. In: Manelis, J, Bental, E, Loeber, JN, Dreifuss, F, eds. Advances in Epileptology, Vol. 17. Raven Press, New York; 1989a; 20–27.Google Scholar
26.Wieser, HG, Landis, T, Regard, M, Schiess, R.“Selective” and “superselective” temporal lobe Amytal tests: 2. Neuropsychological test procedure and results. In: Manelis, J, Bental, E, Loeber, JN, Dreifuss, F. eds. Advance in Epileptology, Vol. 17. Raven Press, New York; 1989b; 28–33.Google Scholar
27.Wada, J.A new method for the determination of the side of cerebral speech dominance. A preliminary report on the intracarotid injection of Sodium Amytal in man. Igaku to Seibutssugaku (Medicine and Biology), 1949; 14: 221–222.Google Scholar
28.Wada, J, Rasmussen, T.Intracarotid injection of Sodium Amytal for the lateralization of cerebral speech dominance. Observations on 123 patients. J Neurosurg 1960; 17: 266–282.CrossRefGoogle Scholar
29.Wieser, HG.Selective Amytal memory tests: correlation with post-operative results. Epilepsia 1989; 30: (5), 724.Google Scholar
30.Babb, TL, Brown, WJ.Neuronal, dentritic, and vascular profiles of human temporal lobe epilepsy correlated with cellular physiology in vivo. In: Delgado-Escueta, AV, Ward, AA Jr, Woodbury, DM, Porter, RJ, eds. Basic Mechanisms of the Epilepsies. Advances in Neurology, Vol 44. Raven Press, New York; 1986; 949–966.Google Scholar
31.Wieser, HG.Human limbic seizures: EEG studies, origin, and patterns of spread. In: Meldrum, BS, Ferrendelli, JA, Wieser, HG, eds. Anatomy of Epileptogenesis. John Libbey & Co, London, Paris; 1988a; 127–138.Google Scholar
32.Duvernoy, HM.The Human Hippocampus. Bergman Verlag, Munich; 1988.CrossRefGoogle Scholar
33.Engel, J Jr. Outcome with respect to epileptic seizures. In: Engel, J Jr, ed. Surgical Treatment of the Epilepsies. Raven Press, New York; 1987; 553–571.Google Scholar
34.Birri, R, Perre, E, Wieser, HG.Der Einfluss verschiedener Temporallappenoperationen auf das Gedachtnis bei Epileptikern. Nervenarzt 1982; 53: 144–149.Google Scholar
35.Nadig, T, Wieser, HG, Perret, E.Learning and memory performance before and after unilateral selective amygdalohippocampectomy. In: Will, BE, Schmitt, P, Dalrymple-Alford, JC, eds. Brain Plasticity, Learning and Memory. Plenum Pubi Co, New York; 1985: 397–403.CrossRefGoogle Scholar
36.Gosner, A, Perret, E, Wieser, HG.1st der Hippokampus fiir Lernund Gedachtnisprozess notwendig? Nervenarzt; 1986; 57: 269–275.Google Scholar
37.Wittlieb-Verpoort, E, Wieser, HG.Tone discrimination in patients with temporal lobe lesion (submitted to Neuropsychologia); 1991.Google Scholar
38.Jones-Gotman, M.Comment: psychological evaluation. In: Engel, J Jr, ed. Surgical Treatment of the Epilepsies. Raven Press, New York; 1987; 197–201.Google Scholar