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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.
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]
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 ...
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 ...
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.
In a disconnective procedure the neural connections in the brain that allow the seizures to spread are disconnected. In most cases epilepsy surgery is only an option when the area of the brain that causes the seizures - the so-called epileptic focus can be clearly identified and is not responsible for critical functions such as language.
Strokes, brain bleeds, and traumatic brain injury can all also lead to epilepsy if seizures re-occur. If the first seizure occurs more than 7 days following a stroke, there is a higher chance of the person developing epilepsy. [27] Post-stroke epilepsy accounts for 30%-50% of new epilepsy cases. [27]
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