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

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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

Section

Case Reports