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Erschienen in:
16.11.2017 | How I Do it - Neurosurgical Techniques
How I do it – selective amygdalohippocampectomy via a navigated temporobasal approach, when veins forbid elevation of the temporal lobe
Erschienen in: Acta Neurochirurgica | Ausgabe 3/2018
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Background
Selective amygdalohippocampectomy is an effective treatment option for mesial temporal lobe epilepsy associated with hippocampal sclerosis.
Methods
To describe and emphasize potential pitfalls during selective amygdalohippocampectomy via a modified navigated temporobasal approach, in cases, where temporal basal veins hinder the required elevation of the temporal lobe.
Conclusions
Selective amygdalohippocampectomy via navigated temporobasal approach is a safe procedure that can reduce the rate of visual field deficits by avoiding damage of optic radiation. The option of a small subpial corticotomy of the inferior temporal gyrus allows sufficient elevation of the temporal lobe in cases with difficult basal venous anatomy.