Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Acta Neurochirurgica
Published in: Acta Neurochirurgica 3/2018

01-03-2018 | How I Do it - Neurosurgical Techniques

How I do it – selective amygdalohippocampectomy via a navigated temporobasal approach, when veins forbid elevation of the temporal lobe

Authors: Daniel Delev, Johannes Schramm, Hans Clusmann

Published in: Acta Neurochirurgica | Issue 3/2018

Login to get access

Abstract

Background

Selective amygdalohippocampectomy is an effective treatment option for mesial temporal lobe epilepsy associated with hippocampal sclerosis.

Methods

To describe and emphasize potential pitfalls during selective amygdalohippocampectomy via a modified navigated temporobasal approach, in cases, where temporal basal veins hinder the required elevation of the temporal lobe.

Conclusions

Selective amygdalohippocampectomy via navigated temporobasal approach is a safe procedure that can reduce the rate of visual field deficits by avoiding damage of optic radiation. The option of a small subpial corticotomy of the inferior temporal gyrus allows sufficient elevation of the temporal lobe in cases with difficult basal venous anatomy.
Appendix
Available only for authorised users
Literature
1.
Bien CG, Raabe AL, Schramm J, Becker A, Urbach H, Elger CE (2012) Trends in presurgical evaluation and surgical treatment of epilepsy at one centre from 1988–2009. J Neurol Neurosurg Psychiatry 84(1):54–61CrossRefPubMed
2.
Destrieux C, Bourry D, Velut S (2013) Surgical anatomy of the hippocampus. Neurochirurgie 59(4–5):149–158CrossRefPubMed
3.
Helmstaedter C, Roeske S, Kaaden S, Elger CE, Schramm J (2011) Hippocampal resection length and memory outcome in selective epilepsy surgery. J Neurol Neurosurg Psychiatry 82(12):1375–1381CrossRefPubMed
4.
Kiernan JA (2012) Anatomy of the temporal lobe. Epilepsy Res Treat 2012(3):1–12
5.
Kral T, Clusmann H, Urbach J, Schramm J, Elger CE, Kurthen M, Grunwald T (2002) Preoperative evaluation for epilepsy surgery (Bonn algorithm). Zentralbl Neurochir 63(3):106–110CrossRefPubMed
6.
Little AS, Smith KA, Kirlin K, Baxter LC, Chung S, Maganti R, Treiman DM (2009) Modifications to the subtemporal selective amygdalohippocampectomy using a minimal-access technique: seizure and neuropsychological outcomes. J Neurosurg 111(6):1263–1274CrossRefPubMed
7.
Sajko T, Škoro I, Rotim K (2013) How I do it – selective amygdalohippocampectomy via subtemporal approach. Acta Neurochir 155(12):2381–2387CrossRefPubMed
8.
Tanriverdi T, Ajlan A, Poulin N, Olivier A (2009) Morbidity in epilepsy surgery: an experience based on 2449 epilepsy surgery procedures from a single institution. J Neurosurg 110(6):1111–1123CrossRefPubMed
9.
Thudium MO, Campos AR, Urbach H, Clusmann H (2010) The basal temporal approach for mesial temporal surgery: sparing the Meyer loop with navigated diffusion tensor tractography. Neurosurgery 67(2 Suppl Operative):385–390PubMed
10.
Metadata
Title
How I do it – selective amygdalohippocampectomy via a navigated temporobasal approach, when veins forbid elevation of the temporal lobe
Authors
Daniel Delev
Johannes Schramm
Hans Clusmann
Publication date
01-03-2018
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 3/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-017-3386-7

Other articles of this Issue 3/2018

Acta Neurochirurgica 3/2018 Go to the issue

How I Do it - Vascular

Trapping and resection of cortical MCA mycotic aneurysm in eloquent area

Original Article - Neurosurgical Techniques

Mathematical model of perineural tumor spread: a pilot study

Original Article - Vascular

Quality of life and disability 12 months after surgery vs. conservative management for unruptured brain arteriovenous malformations: Scottish population-based and Australian hospital-based studies

Original Article - Spine

Decompressive surgery for lumbar spinal stenosis across the Atlantic: a comparison of preoperative MRI between matched cohorts from the US and Norway

Case Report - Spine

Disc herniation, occult on preoperative imaging but visualized microsurgically, as the cause of idiopathic thoracic spinal cord herniation

Original Article - Functional

Clinical response to Vim’s thalamic stereotactic radiosurgery for essential tremor is associated with distinctive functional connectivity patterns