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The strongest evidence supporting ATL over continued medical therapy for medically refractory temporal lobe epilepsy is a prospective, randomized trial of ATL compared to best medical therapy (anticonvulsants), which convincingly demonstrated that the seizure-free rate after surgery was about 60% as compared to only 8% for the medicine only ...
Temporal lobe resection acts as a treatment option for patients with temporal lobe epilepsy, or those whose seizure focus is in the temporal lobe. Temporal lobe seizures are the most common type (approximately 30% of diagnoses) of seizures for teens and young adults. [28] The procedure involves resecting, or cutting away, brain tissue within ...
In a prospective randomized controlled trial comparing anterior temporal lobectomy to medical therapy for pharmacoresistant temporal lobe epilepsy, surgery was more effective than medical therapy with 1-year seizure free outcome occurring in 58% of persons with anterior temporal lobectomy compared to 8% of persons with drug treatment. [5]
The advent of neuromodulation technology in the last decade has been a major step forward in how epilepsy is treated. First procedure for groundbreaking epilepsy surgery trial performed at ...
Temporal lobe epilepsy (TLE) in which the epileptic focus is in the temporal lobe, is one of the most common types of epilepsy in adolescents and adults. Hence temporal lobe resection, during which the whole temporal lobe or just a part of the temporal lobe for example the hippocampus or the amygdala is removed, is the most common epilepsy ...
An individual in the midst of a prolonged TEA attack was given a PET scan which revealed "dramatic and circumscribed hypermetabolism in the left medial temporal lobe" and his "fluid-attenuated inversion-recovery MRI scan revealed high signal in the left hippocampus". [13] Surface EEG recording during an amnesic attack was performed in ten TEA ...