Surgical treatment of mesial temporal lesions through transsylvian approach
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 11
- DOI:
- 10.3760/cma.j.issn.1001-2346.2010.11.004
- Key Word:
- 外科手术;经侧裂入路;颞叶内侧病变;颞叶内侧癫痫;Surgical procedures,operative;Transsyivian approach;Mesial temporal lesions;Mesial temporal epilepsy
Abstract： Objective To study the operative indications and effects of surgical treatment of mesial temporal lesions through transsylvian approach(TSA).Method A retrospective analysis of operative outcomes and complications of 26 patients with mesial temporal lesions through TSA between Jul 2005 and Jul 2009 was performed.Results The pathologic changes included 6 cases of cavernous haemangioma,7 glioma,1 gliomatosis and 12 hippocampal sclerosis.2 case of glioma were subtotal removed and the others were total removed.Amygdaloid nucleus was removed and hippocampus was removed 2.5 to 3.0 cm in hippocampal sclerosis cases.Cavernous haemangioma and its surround gliotic plane with hemosiderin were removed together.The complications included visual field deficits in 11 patients (but only 2 patients had symptom of visual field deficits),1 haematoma in operative field,1 oculomotor injury and 1 anterior choroidal artery injury.Conclusions Favorable operative effects could be achived through TSA with low irreversible complication risk for surgical treatment of medsial temporal lesions.
- [1]樊丰势,王政刚,张旭东,等.侧裂入路选择性海马、杏仁核切除术治疗颞叶癫癎[J].2005,(2).
- [2]许尚臣,栾立明,庞琦,等.经皮层选择性海马杏仁核切除术治疗颞叶癫痫[J].2006,(12).
- [3]杨治权,袁贤瑞,奚健,等.经侧裂选择性杏仁核海马切除术治疗颞叶内侧癫痫[J].2010,(1).
- [4]杨朋范,魏梁锋,赵琳,等.经颞下回-侧脑室入路选择性海马杏仁核切除术治疗内侧颞叶癫痫[J].2009,(7).
- [5]姜中利,王忠诚,李明洲.颞叶内侧解剖及与周围结构的毗邻关系[J].2006,(31).
- [6]Yeni SN,Tanriover N,Ulu MO,etc.Visual field defects in selective amygdalohippocampectomy for hippocampal sclerosis: the fate of Meyer's loop during the transsylvian approach to the temporal horn.[J].2008,63(3).
- [7]Shorvon S,Fish DR,Kitchen N,etc.Supratentorial cavernous haemangiomas and epilepsy: a review of the literature and case series.[J].1999,66(5).
- [8]Gabriel RA,Potts MB,Chang EF.Seizure characteristics and control after microsurgical resection of supratentorial cerebral cavernous malformations.[J].2009,65(1).
- [9]Yasargil MG,Krayenbuhl N,Roth.The selective amygdalohippocampectomy for intractable temporal limbic seizures.[J].2010,112(1).
- [10]Schramm J,Schaller C,Meyer B,etc.Rate of vasospasm following the transsylvian versus transcortical approach for selective amygdalohippocampectomy.[J].2004,26(6).
- [11]Binder JR,Swanson SJ,Sabsevitz DS,etc.A comparison of two fMRI methods for predicting verbal memory decline after left temporal lobectomy: language lateralization versus hippocampal activation asymmetry.[J].2010,51(4).
- [12]Vinters HV,Stern JM,Engel J Jr,etc.Epileptogenic temporal cavernous malformations: operative strategies and postoperative seizure outcomes.[J].2010,19(2).
- [13]Phi JH,Cho B,Kim SK.Long-term surgical outcomes of temporal lobe epilepsy associated with low-grade brain tumors.[J].2009,115(24).