The tailored temporal lobectomy.
The indications, rationale, operative technique, risks, and outcome from the tailored temporal lobectomy are reviewed. The tailored lobectomy allows intraoperative identification of both electrically active cortex and functionally essential cortex, thus permitting maximal resection of epileptic regions without damage to Rolandic cortex or essential language cortex. This allows surgical strategy to be planned on the basis of preoperative interictal scalp electroencephalography recordings, thus lowering hospital costs and avoiding risk of implanting intracranial electrodes.
Silbergeld
D L
DL
Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.
Ojemann
G A
GA
D001931:Brain Mapping; D004569:Electroencephalography; D004827:Epilepsy / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D016343:Monitoring, Intraoperative; D013702:Temporal Lobe / Q000503:physiopathology / Q000601:surgery*