Microneurosurgical Management of Intractable Temporal Lobe Epilepsy (TLE) from Mesial Temporal Sclerosis (MTS) by Amygdalohippocampectomy plus Standard Anterior Temporal Lobectomy: A Report of Three Cases

Authors

  • Forhad Hossain Chowdhury Neurosurgeon, Dept. of Neurosurgery, Dhaka Medical college Hospital, Dhaka
  • Md Raziul Haque Associate Professor, Dept. of Neurosurgery, Dhaka Medical college Hospital, Dhaka
  • Md Shafiqul Islam Neurosurgeon, Dept. of Neurosurgery, Dhaka Medical college Hospital, Dhaka
  • Asit Chandra Sarker Neurosurgeon, Dept. of Neurosurgery, Dhaka Medical college Hospital, Dhaka
  • AFM Mofakkharul Islam Associate Professor, Dept. of Medicine, SSMC & Mitford Hospital, Dhaka

DOI:

https://doi.org/10.3329/jom.v12i1.6934

Keywords:

Intractable temporal lobe epilepsy, Mesial temporal sclerosis, Microneurosurgical management, Amygdalohippocampectomy

Abstract

Intractable Temporal Lobe Epilepsy may be due to Mesial Temporal Sclerosis (MTS), tumors [i.e. low grade glioma, Arterio-venous Malformation (AVM) etc], trauma, infection (Tuberculosis) etc. Intractable Temporal Lobe Epilepsy (TLE) from Mesial Temporal Sclerosis (MTS) is usually resistant to antiepileptic drugs and surgery is the treatment of choice like other form of TLE . MTS is the most common cause of intractable epilepsy in adult. Here we report three cases of surgically treated TLE that were due to MTS in the department of neurosurgery, Dhaka Medical College Hospital and a private Hospital, Dhaka, Bangladesh from August 2009 to February 2010. In all cases the only presenting symptoms was complex partial seizure (Psychomotor epilepsy) for which all underwent scalp EEG (Electro Encephalogram) and MRI (Magnetic Resonance Imaging) of Brain. All patients were managed by amygdalohippocampectomy plus standard anterior lobectomy. All patients are seizure and disease free till last follow up.

Keyword: Intractable temporal lobe epilepsy; Mesial temporal sclerosis; Microneurosurgical management; Amygdalohippocampectomy.

DOI: 10.3329/jom.v12i1.6934

J Medicine 2011; 12 : 61-65

Downloads

Download data is not yet available.
Abstract
103
PDF
67

Downloads

How to Cite

Chowdhury, F. H., Haque, M. R., Islam, M. S., Sarker, A. C., & Islam, A. M. (2011). Microneurosurgical Management of Intractable Temporal Lobe Epilepsy (TLE) from Mesial Temporal Sclerosis (MTS) by Amygdalohippocampectomy plus Standard Anterior Temporal Lobectomy: A Report of Three Cases. Journal of Medicine, 12(1), 61–65. https://doi.org/10.3329/jom.v12i1.6934

Issue

Vol. 12 No. 1 (2011)

Section

Case Reports

License

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

    1. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).