Transtemporal amygdalohippocampectomy: a novel minimally-invasive technique with optimal clinical results and low cost Juan Antonio Castro Flores Felipe Hada Sanders Eberval Gadelha Figueiredo Manoel Jacobsen Teixeira 10.6084/m9.figshare.5696014.v1 https://scielo.figshare.com/articles/dataset/Transtemporal_amygdalohippocampectomy_a_novel_minimally-invasive_technique_with_optimal_clinical_results_and_low_cost/5696014 <div><p>ABSTRACT Mesial temporal sclerosis creates a focal epileptic syndrome that usually requires surgical resection of mesial temporal structures. Objective: To describe a novel operative technique for treatment of temporal lobe epilepsy and its clinical results. Methods: Prospective case-series at a single institution, performed by a single surgeon, from 2006 to 2012. A total of 120 patients were submitted to minimally-invasive keyhole transtemporal amygdalohippocampectomy. Results: Of the patients, 55% were male, and 85% had a right-sided disease. The first 70 surgeries had a mean surgical time of 2.51 hours, and the last 50 surgeries had a mean surgical time of 1.62 hours. There was 3.3% morbidity, and 5% mild temporal muscle atrophy. There was no visual field impairment. On the Engel Outcome Scale at the two-year follow-up, 71% of the patients were Class I, 21% were Class II, and 6% were Class III. Conclusion: This novel technique is feasible and reproducible, with optimal clinical results.</p></div> 2017-12-13 02:43:13 anterior temporal lobectomy epilepsy, temporal lobe epilepsies, partial