title: Mesial temporal lobe epilepsy - An overview of surgical techniques.
abstract: Mesial temporal lobe epilepsy is one of the commonest indications for epilepsy surgery. Presurgical evaluation for drug resistant epilepsy and identification of appropriate candidates for surgery is essential for optimal seizure freedom. The anatomy of mesial temporal lobe is complex and needs to be understood in the context of the advanced imaging, ictal and interictal Video_EEG monitoring, neuropsychology and psychiatric considerations. The completeness of disconnection of epileptogenic neural networks is paramount and is correlated with the extent of resection of the mesial temporal structures. In the Indian subcontinent, a standard but extended anterior temporal lobectomy is a viable option in view of the diverse socioeconomic, cultural and pathological considerations. The maximum utilization of epilepsy surgery services in this region is also a challenge. There is a need for regional comprehensive epilepsy care teams in a tertiary care academic hospital to form centers of excellence catering to a large population.
authors: Department of Neurosurgery, Seth Gordhandas Sunderdas Medical College and King Edward VII Memorial Hospital, Mumbai, India. Electronic address: dmuzumdar@hotmail.com.
authors: Dattatraya
authors: D
authors: Muzumdar
authors: Department of Neurosurgery, Seth Gordhandas Sunderdas Medical College and King Edward VII Memorial Hospital, Mumbai, India.
authors: Manoj
authors: M
authors: Patil
authors: Department of Neurosurgery, Seth Gordhandas Sunderdas Medical College and King Edward VII Memorial Hospital, Mumbai, India.
authors: Atul
authors: A
authors: Goel
authors: Department of Neurology, Seth Gordhandas Sunderdas Medical College and King Edward VII Memorial Hospital, Mumbai, India.
authors: Sangeeta
authors: S
authors: Ravat
authors: Department of Psychiatry, Seth Gordhandas Sunderdas Medical College and King Edward VII Memorial Hospital, Mumbai, India.
authors: Nina
authors: N
authors: Sawant
authors: Department of Neurology, Seth Gordhandas Sunderdas Medical College and King Edward VII Memorial Hospital, Mumbai, India.
authors: Urvashi
authors: U
authors: Shah
mesh_terms: D000328:Adult; D000069279:Drug Resistant Epilepsy / Q000601:surgery*; D004569:Electroencephalography; D004833:Epilepsy, Temporal Lobe / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006624:Hippocampus / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D013702:Temporal Lobe / Q000473:pathology / Q000601:surgery
keywords: Anterior temporal lobectomy; Drug resistant epilepsy; Mesial temporal lobe