ArticleSurgical and radiologic anatomy : SRA2024
Anatomical considerations in selective amygdalohippocampectomy techniques for refractory temporal lobe epilepsy: a cadaveric study with emphasis on white matter tract anatomy.
Article in Surgical and radiologic anatomy : SRA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Linking Memory Impairment to Structural Connectivity in Extrahippocampal Temporal Lobe Epilepsy Surgery.Neurology international · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
purposeMesial temporal lobe epilepsy is a common form of focal drug resistant epilepsy in adults. Various mesial temporal lobe structures are integral in the genesis of temporal seizures and the hippocampal sclerosis is the primary neuropathological finding in these cases. Surgical treatment is considered the preferred management. This study aims to analyze the anatomical and surgical aspects of various resection techniques of selective amygdalohippocampectomy (SAHE)and clarify the critical anatomical landmarks and technical nuances associated which each method.
methodsThrough dissection of five human head and brain specimens we evaluated three primary surgical approaches for SAHE-transsylvian, transcortical, and subtemporal - and additionally discussed laser interstitial thermal therapy (LITT). We examined the anatomical considerations of the temporal lobe and its white matter tracts, as well as the technical aspects of each approach.
resultsThe transcortical approach provides direct access to mesial structures but requires precise placement of the corticotomy based on hemisphere dominance to avoid arcuate fascicle and optic radiation. The subtemporal approach preserves all above white matter tracts but may risk interruption of the inferior longitudinal fasciculus. The transsylvian approach allows for comprehensive exposure but poses risks to tracts within limen insulae, namely uncinate and inferior fronto - occipital fascicles. Additionally, there is a risk to middle cerebral artery and its branches. LITT offers a minimally invasive alternative with comparable outcomes and reduced risk of cognitive side effects.
conclusionSelective amygdalohippocampectomy and its variants, including LITT, are surgical strategies for managing mesial temporal lobe epilepsy. Each approach has distinct anatomical and technical considerations that influence the choice of a technique. Due to complex anatomy of temporal lobe and white matter tracts variability more research is essential for achieving favourable outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.