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Recovery after ATL can take several weeks to months. Anti-seizure medications will be continued for several months after ATL. As it is an open surgery it takes time for the brain to heal. [10] Speech therapy, occupational therapy, etc. can help recovery. About 90% of people experience an improvement in seizures after temporal lobectomy.
In patients with refractory epilepsy, surgery is considered the only curative option. [3] [5] [4] Epilepsy surgery has been performed for more than a century, but its use dramatically increased in the 1980s and 1990s, reflecting advancement in technique and improved efficacy in selected patients. [6] [7]
Amygdalohippocampectomy is a surgical procedure for the treatment of epilepsy.It consists of the removal of the hippocampus, which has a role in memory, spatial awareness, and navigation, [1] and the amygdalae, which have a role in the processing and memory of emotional reactions, [2] both structures forming part of the limbic system of the brain.
Hemispherectomy is a surgery that is performed by a neurosurgeon where an unhealthy hemisphere of the brain is disconnected or removed. There are two types of hemispherectomy. Functional hemispherectomy refers to when the diseased brain is simply disconnected so that it can no longer send signals to the rest of the brain and body.
The surgery is a palliative treatment method for many forms of epilepsy, including atonic seizures, generalized seizures, and Lennox-Gastaut syndrome. [6] In a 2011 study of children with intractable epilepsy accompanied by attention deficit disorder , EEG showed an improvement to both seizures and attention impairments following corpus ...
The procedure is also used in epilepsy surgery to remove the parts of the brain that are causing epilepsy. Craniotomy is distinguished from craniectomy (in which the skull flap is not immediately replaced, allowing the brain to swell, thus reducing intracranial pressure) and from trepanation , the creation of a burr hole through the cranium ...
In epilepsy surgery, a distinction can be made between resective and disconnective procedures. In a resective procedure the area of the brain that causes the seizures is removed. In a disconnective procedure the neural connections in the brain that allow the seizures to spread are disconnected.
Awake craniotomy is a neurosurgical technique and type of craniotomy that allows a surgeon to remove a brain tumor while the patient is awake to avoid brain damage.During the surgery, the neurosurgeon performs cortical mapping to identify vital areas, called the "eloquent brain", that should not be disturbed while removing the tumor.
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