Technical challenges to anterior temporal lobectomy after laser interstitial thermal therapy for mesial temporal lobe epilepsy: technical note

Molly E. Hubbard, Nasser K. Yaghi, Nathan R. Selden

    Research output: Contribution to journalArticlepeer-review

    1 Scopus citations

    Abstract

    Mesial temporal sclerosis (MTS) is a frequent cause of medically refractory epilepsy, for which laser interstitial thermal therapy (LITT) is an effective treatment. However, experience with the technical considerations posed by additional surgery after an initial LITT procedure is lacking. The authors present the case of a 12-year-old female with medically refractory temporal lobe epilepsy and left MTS who underwent LITT at a separate institution prior to referral. This patient had no change in early postoperative seizure control (Engel class IVB) and then her seizures worsened despite ongoing medical treatment (Engel class IVC). Post-LITT MRI revealed sparing of the mesial hippocampus head, a poor prognostic factor. The authors describe the technical details illustrated by this case of secondary, stereotactic electroencephalography-guided mesial temporal resection following LITT. The case was managed with anterior temporal lobectomy including the resection of residual hippocampus and amygdala.

    Original languageEnglish (US)
    Pages (from-to)128-131
    Number of pages4
    JournalJournal of Neurosurgery: Pediatrics
    Volume30
    Issue number1
    DOIs
    StatePublished - Jul 2022

    Keywords

    • ATL
    • LITT
    • anterior temporal lobectomy
    • epilepsy
    • laser interstitial thermal therapy
    • mesial temporal sclerosis
    • surgical technique

    ASJC Scopus subject areas

    • Surgery
    • Pediatrics, Perinatology, and Child Health
    • Clinical Neurology

    Fingerprint

    Dive into the research topics of 'Technical challenges to anterior temporal lobectomy after laser interstitial thermal therapy for mesial temporal lobe epilepsy: technical note'. Together they form a unique fingerprint.

    Cite this