What is the latest treatment of temporal lobe epilepsy

summary

The eldest brother's child is 4 years old, suffering from epilepsy. After going to the hospital for examination, the doctor pointed out that he was suffering from temporal lobe epilepsy, and also gave us some suggestions on treatment. He explained to us the current treatment for temporal lobe epilepsy. Now let me tell you about the latest treatment of temporal lobe epilepsy?

What is the latest treatment of temporal lobe epilepsy

First, resection of anterior temporal lobe and medial temporal structure, unilateral temporal lobe epilepsy, but can not clearly distinguish the origin of epilepsy from medial temporal lobe structure or new temporal cortex. Under general anesthesia, the patient was supine on the operating table, and the head was rotated 45 ° to one side. If the operation navigation system is used, the reference frame should be installed on it. The pterional incision was extended, starting from the zygomatic arch root, upward in front of the ear, then turned to the back of the ear, and then from back to front to the midline of the forehead. Extracranial incision, dural incision and anterior temporal lobectomy.

The second is the resection of the medial temporal lobe structure. The head of hippocampus is removed under the pia mater. The choroid plexus of the lateral ventricle is used as the internal boundary to remove the hippocampus. Generally, it is removed to the level of the posterior edge of the brain stem. Pay attention to the integrity of the pia mater to avoid damaging the oculomotor nerve and brain stem. The range of amygdala resection is generally 1 / 2-3 / 4.

Third, the keyhole approach of selective amygdaloidectomy. Keyhole approach must be strictly guided by image navigation. The scalp incision is an arc incision from zygomatic arch. The temporalis muscle was incised and the hook was pulled open. A 75 PX diameter foramen was drilled in the skull, and the center of the foramen was located in the middle temporal gyrus. The procedure is similar to the non keyhole procedure described above. Image navigation can ensure that the cortical incision is at the upper edge of the middle temporal gyrus, the posterior edge of the incision is at the level of the anterior central sulcus in the dominant hemisphere, and the non dominant hemisphere is at the level of the central sulcus.

matters needing attention

We always think that epilepsy like childhood epilepsy, especially the typical temporal lobe epilepsy, is very difficult to treat. In fact, this is mainly because we do not know enough about it. At present, there are many corresponding treatments for this kind of epilepsy. These latest treatments are undoubtedly very useful for us.