Surgical Treatment Of Temporal Lobe Epilepsy Of Hippocampal Sclerosis

Objective: To determine12cases of temporal lobe epilepsy of hippocampal sclerosisclinical features, summarize the operation experience, follow-up postoperative curativeeffect. Materials and Methods: A retrospective analysis of the case records of12patientsoperated for temporal lobe epilepsy of hippocampal sclerosis from neurosurgery of the thefirst teaching hospital of xinjiang medical university, between May2009and December2011, which include7cases of men,5cases of women, preoperatively all cases conductingVideo-EEG and MRI examination, and part of the patients conducting PET-CT, surgicalmethods selecting anteromedial temporal lobectomy, operative effect evaluation selectingEngel rating scale method. Results: The study group included6cases (50.0%) between21～30years old, onset of disease age＜14years old8cases (66.7%), course of thedisease＞10years person in9(75.0%). Comprehensive epileptogenic zone localizationon one side for the temporal lobe or in the temporal lobe on one side for advantage.Intraoperative DCoG were found abnormal discharge in the hippocampus-the amygdala,postoperative pathologic both confirmed the hippocampal sclerosis9cases ofpostoperative recover smoothly,3cases the postoperatie fever,no serious complicationsand deaths. Follow-up of5months to3years, Class Ⅰ10patients (83.3%), grade Ⅱ2cases(16.7%). Conclusion: The patients of temporal lobe epilepsy of hippocampal sclerosis becharacterized by young patients in the majority, common small age of onset and the courseof a long. The patient that are synthetically judged seizure focus as a side temporal lobe orside temporal lobe of the advantage by the clinical symptoms、V-EEG、MRI、PET-CT andso on, were finished anteromedial temporal lobectomy, less postoperative complications,and the results were sure.