Skip to main content

Advertisement

SpringerLink
Log in

Open stereotactic amygdalohippocampectomy — Clinical, psychometric, and MRI follow-up

  • Clinical Articles
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

The clinical results of six cases of open stereotactic amygdalohippocampectomy for medically intractable epilepsy are presented. Outcome in terms of seizure control (highly satisfactory in five patients) and neuropsychological sequelae (all cases had poor functioning of the contralateral temporal lobe pre-operatively) are detailed. In addition the use of post-operative Magnetic Resonance Imaging (MRI) is demonstrated and shown to be a valuable tool in providing the crucially accurate baseline that is required for more meaningful follow-up outcome studies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Cahan LD, Sutherling W, McCullough MA, Rausch R, Engel J Jr, Crandall PH (1984) Review of the 20-years UCLA experience with surgery for epilepsy. Cleve Clin Q 51: 313–318

    PubMed  Google Scholar 

  2. Cascino GD, Jack CR Jr, Parisi JE, Marsh WR, Kelly PJ, Sharbrough, Hirschorn KA, Trenerry MR (1992) MRI in the presurgical evaluation of patients with frontal lobe epilepsy and children with temporal lobe epilepsy: pathologic correlation and prognostic importance. Epilepsy Res 11: 51–59

    PubMed  Google Scholar 

  3. Cook MJ, Fish DR, Shorvon SD, Straughan K, Stevens JM (1992) Hippocampal volumetric and morphometric studies in frontal and temporal lobe epilepsy. Brain 115: 1001–1015

    PubMed  Google Scholar 

  4. Coughlan AK, Hollows SE (1985) The adult memory and information processing battery test manual. Leeds, AK Coughlan

    Google Scholar 

  5. Dinner DS, Luders H, Lesser RP, Morris HH, Hahn JF, DeNelsky GY, Plesec T (1986) Relationship of memory changes after temporal lobectomy and extent of resection. Neurology 36: 294–295

    PubMed  Google Scholar 

  6. Elwes RDC, Dunn G, Binnie CD, Polkey CE (1991) Outcome following resective surgery for temporal lobe epilepsy: a prospective follow-up study of 102 consecutive cases. J Neurol Neurosurg Psychiatry 54: 949–952

    PubMed  Google Scholar 

  7. Falconer MA, Serfetinides EA (1963) A follow-up study of surgery in temporal lobe epilepsy. J Neurol Neurosurg Psychiatry 26:154–165

    Google Scholar 

  8. Garcia Sola R, Miravet J (1991) Surgical treatment of epilepsy. Results after a minimum follow-up of five years. Acta Neurochir (Wien) [Suppl] 52: 157–160

    Google Scholar 

  9. Glasser GH (1980) Treatment of intractable temporal lobe limbic epilepsy (complex parial seizures) by temporal lobectomy. Ann Neurol 8: 455–159

    PubMed  Google Scholar 

  10. Goldstein LH, Polkey CE (1993) Short-term cognitive changes after unilateral temporal lobectomy or unilateral amygdalohippocampectomy for the relief of temporal lobe epilepsy. J Neurol Neurosurg Psychiatry 56: 135–140

    PubMed  Google Scholar 

  11. Kratimenos GP, Pell MF, Thomas DGT, Shorvon SD, Fish DR, Smith SJN (1992) Open selective amygdalohippocampectomy for drug resistant epilepsy. Acta Neurochir (Wien) 116: 150–154

    Google Scholar 

  12. McKenna P, Warrington E (1983) Graded naming test manual. England, NFER Nelson

    Google Scholar 

  13. McMackin D, Staunton, H (1991) Surgery for temporal lobe epilepsy — a review. J Irish Coll Phys Surg 20: 193–197

    Google Scholar 

  14. Niemeyer P (1958) The transventricular amygdalohippocampectomy in temporal lobe epilepsy. In: Baldwin N, Bailey P (eds) Temporal lobe epilepsy. Thomas, Springfield, Illinois, pp 461–482

    Google Scholar 

  15. Ojemann GA (1987) Surgical therapy for medically intractable epilepsy. J Neurosurg 66: 489–499

    PubMed  Google Scholar 

  16. Ojemann GA, Dodrill CB (1985) Verbal memory deficits after left temporal lobectomy for epilepsy. J Neurosurg 62: 101–107

    PubMed  Google Scholar 

  17. Spencer DD, Spencer SS, Mattson RH, Williamson PD, Novelly RA (1984) Access to the posterior medial temporal lobe structures in the surgical treatment of temporal lobe epilepsy. Neurosurgery 15: 667–671

    Google Scholar 

  18. Warrington E (1984) Recognition memory test manual. England, NFER Nelson

    Google Scholar 

  19. Wechsler D (1981) WAIS-R Manual. Psychological Corporation, New York

    Google Scholar 

  20. Yaşargil MG, Teddy PJ, Roth P (1985) Selective amygdalohippocampectomy. In: Symon L (ed) Operative anatomy and surgical techniques. Advances and technical standards in neurosurgery, Vol 20. Springer, Wien New York, pp 93–123

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. The National Hospital for Neurology and Neurosurgery and The Institute of Neurology, London, UK

    N. D. Kitchen, D. G. T. Thomas, P. J. Thompson, S. D. Shorvon & D. R. Fish

Authors
  1. N. D. Kitchen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. D. G. T. Thomas
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. P. J. Thompson
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. D. Shorvon
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. D. R. Fish
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kitchen, N.D., Thomas, D.G.T., Thompson, P.J. et al. Open stereotactic amygdalohippocampectomy — Clinical, psychometric, and MRI follow-up. Acta neurochir 123, 33–38 (1993). https://doi.org/10.1007/BF01476282

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01476282

Keywords

Search

Navigation