title: Selective Amygdalohippocampectomy.
abstract: Mesial temporal lobe epilepsy is a common condition that is frequently drug resistant. Anterior temporal lobectomy has been shown to be effective in controlling seizures but entails resecting anterior and lateral temporal lobe regions that are not necessarily included in the epileptogenic zone. Selective amygdalohippocampectomy spares uninvolved structures while providing the same benefit as anterior temporal lobectomy. This article describes the 3 most common surgical approaches for performing selective amygdalohippocampectomy and discusses their relative merits and risks.
authors.affiliation: Department of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, 350 West Thomas Road, Phoenix, AZ 85013, USA.
authors.forename: Alastair T
authors.initials: AT
authors.lastname: Hoyt
authors.affiliation: Department of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, 350 West Thomas Road, Phoenix, AZ 85013, USA. Electronic address: neuropub@dignityhealth.org.
authors.forename: Kris A
authors.initials: KA
authors.lastname: Smith
mesh_terms: D000679:Amygdala / Q000601:surgery*; D004833:Epilepsy, Temporal Lobe / Q000601:surgery*; D006624:Hippocampus / Q000601:surgery*; D006801:Humans; D019635:Neurosurgical Procedures / Q000379:methods*; D016896:Treatment Outcome
keywords: Amygdalohippocampectomy; Epilepsy; Mesial temporal sclerosis; Subtemporal; Temporal lobectomy; Transcortical; Transsylvian