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Titolo:
ENDOSCOPIC TRANSVENTRICULAR HIPPOCAMPECTOMY
Autore:
SILBERGELD DL; VOLLMER DG; TANTUWAYA VS; EICHLER ME;
Indirizzi:
WASHINGTON UNIV,SCH MED,DEPT NEUROL,DEPT NEUROL SURG,CAMPUS BOX 8057,660 S EUCLID AVE ST LOUIS MO 63110 WASHINGTON UNIV,SCH MED,CTR EPILEPSY ST LOUIS MO 63110
Titolo Testata:
Journal of epilepsy
fascicolo: 1, volume: 8, anno: 1995,
pagine: 68 - 73
SICI:
0896-6974(1995)8:1<68:ETH>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
LEFT TEMPORAL LOBECTOMY; EPILEPSY;
Keywords:
ENDOSCOPY; EPILEPSY; EPILEPSY SURGERY; HIPPOCAMPUS; TEMPORAL LOBE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
27
Recensione:
Indirizzi per estratti:
Citazione:
D.L. Silbergeld et al., "ENDOSCOPIC TRANSVENTRICULAR HIPPOCAMPECTOMY", Journal of epilepsy, 8(1), 1995, pp. 68-73

Abstract

Several different types of resections are performed for medically intractable mesiobasal temporal lobe epilepsy (TLE). Although the amount of neocortical and amygdalar resection varies, most surgeons agree that removal of at least a portion of the hippocampus is critical for seizure control. We describe a preliminary cadaveric investigation of thefeasibility of endoscopic hippocampectomy. A transsquamosal approach through the middle temporal gyrus permitted easy access to the pes hippocampus through the temporal horn of the lateral ventricle but made access to the body and tail of the hippocampus difficult. A posterior approach, through the occipital horn of the lateral ventricle, as in placement of an occipital ventricular catheter, permitted a clearer viewof the entire hippocampus from the trigone to the pes hippocampus. Using this technique, we identified the choroid plexus and fissure, calcar avis, collateral trigone, collateral eminence, and uncal recess of the temporal hem. Transventricular endoscopy, through an occipital approach to the temporal hem, permits clear visualization of the pertinent intraventricular anatomy necessary to perform a hippocampectomy. With further developments in neuroendoscopic technology, this approach may provide a surgical strategy for patients with medically intractable epilepsy of well-defined mesiobasal origin.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 19:24:08