Article
Clinical Neurology
Ionut-Flavius Bratu, Adriana Elena Nica, Irina Oane, Andrei Daneasa, Sergiu Stoica, Andrei Barborica, Ioana Mindruta
Summary: Musicogenic epilepsy is a rare form of reflex epilepsy where seizures are triggered by music. Different types of music or specific musical patterns can provoke seizures. This article presents two cases of musicogenic seizures, one caused by structural temporal lobe epilepsy and the other by autoimmune temporal lobe epilepsy. Surgical intervention and immunoglobulin therapy were effective treatments for the respective patients, providing seizure control. The study highlights the importance of understanding the underlying network pathophysiology and utilizing independent component analysis for locating the seizure generator.
FRONTIERS IN NEUROLOGY
(2023)
Article
Clinical Neurology
Kevin Hines, Anthony Stefanelli, Taylor Haddad, Caio M. Matias, Ashwini Sharan, Chengyuan Wu
Summary: In this comparative study, it was found that single-trajectory LITT had significantly lower hospital admission costs than ATL, while length of stay, anesthesia costs, operative room costs, and postoperative hospitalization costs were also significantly lower.
WORLD NEUROSURGERY
(2022)
Article
Medicine, General & Internal
Xi Zhang, Guojun Zhang, Tao Yu, Cuiping Xu, Jin Zhu, Xiaoming Yan, Kai Ma, Runshi Gao
Summary: This study analyzed the surgical outcomes of patients with temporal lobe epilepsy (TLE) who underwent temporal and insular SEEG recordings. The findings suggest that insular involvement may be associated with failed anterior temporal lobectomy (ATL) and poorer seizure outcomes. The study also identified temporal-insular spreading time (TIST) as an independent predictor of postoperative seizure-free outcomes in these patients.
Article
Multidisciplinary Sciences
Go Seyama, Koji Iida, Kota Kagawa, Masaya Katagiri, Akitake Okamura, Hiromi Morioka, Nobutaka Horie
Summary: This study investigated the usefulness of hippocampal volume in determining the optimal resection side in bilateral temporal lobe epilepsy (BTLE). The results showed that when the evidence from hippocampal volume matched the resection side, 72.7% of the patients had well-controlled seizures.
SCIENTIFIC REPORTS
(2023)
Article
Clinical Neurology
Graham M. Winston, Miguel E. Tusa Lavieri, Francis Michael Villamater, Theodore H. Schwartz
Summary: Anteromesial resection is an effective treatment for seizures arising from the medial temporal lobe. However, the need for electrode implantation before surgery may not significantly affect the rate of seizure freedom in these patients. Our study suggests that omitting electrode implantation may lead to improved seizure control.
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
Holger Joswig, Chloe Gui, Miguel Arango, Andrew G. Parrent, Keith W. MacDougall, Jorge G. Burneo, David A. Steven
Summary: This study aimed to evaluate dream content before and after anterior temporal lobectomy. The results showed a significant decrease in physical aggression in dreams of patients after surgery, while there were no significant changes in dream content in other cases. The study found that the temporal lobe may be associated with aggressive dream content.
JOURNAL OF NEUROSURGERY
(2022)
Article
Clinical Neurology
Ersida Buraniqi, Julie B. Guerin, Kai J. Miller, Jamie J. Van Gompel, Karl Krecke, Elaine C. Wirrell, Katherine C. Nickels, Eric T. Payne, Lily Wong-Kisiel
Summary: This study evaluated the clinical characteristics of childhood-onset drug-resistant temporal lobe epilepsy (DR-TLE) caused by temporal lobe encephaloceles (TEs). TEs are often overlooked in pediatric epilepsy diagnosis and increasing awareness of this condition is necessary. Surgical treatment can effectively address the issue of childhood DR-TLE.
PEDIATRIC NEUROLOGY
(2023)
Article
Multidisciplinary Sciences
David Framorando, Eleanor Moses, Lore Legrand, Margitta Seeck, Alan J. Pegna
Summary: The study found that both healthy individuals and those who had undergone left amygdala resections showed enhanced N170 response to fearful faces, while this effect was not observed in patients with right amygdala resections.
SCIENTIFIC REPORTS
(2021)
Article
Medicine, General & Internal
Song Lu, Min Chu, Xian Wang, Yating Wu, Yue Hou, Aihua Liu
Summary: This study evaluated changes in cognitive function, mood status, and quality of life in patients who underwent anterior temporal lobectomy. The results showed that the surgery significantly reduced epileptiform discharges, improved anxiety and depression symptoms, and enhanced quality of life without causing significant changes in cognitive function.
CHINESE MEDICAL JOURNAL
(2023)
Article
Clinical Neurology
Kevin Hines, Liam P. Hughes, Daniel Franco, Ashwini D. Sharan, Chengyuan Wu
Summary: The impact of using robotic 3D exoscope and microscope on hippocampal resection percentage in anterior temporal lobectomy was investigated.
ACTA NEUROCHIRURGICA
(2023)
Article
Clinical Neurology
Yong Liu, Yutao Ren, Qiang Meng, Hao Wu, Shan Dong, Huanfa Li, Xiaofang Liu, Kuo Li, Changwang Du, Hua Zhang
Summary: Functional anterior temporal lobectomy (FATL) is a minimally invasive surgical procedure for treating intractable temporal lobe epilepsy (TLE). Preliminary data from a case series study shows that FATL is safe and effective, with a high seizure-free rate.
OPERATIVE NEUROSURGERY
(2023)
Article
Behavioral Sciences
Lilach Goldstein, Mitra Dehghan Harati, Kathryn Devlin, Joseph Tracy, Maromi Nei, Christopher Skidmore, Caio M. Matias, Ashwini D. Sharan, Chengyuan Wu, Scott Mintzer, Richard Gorniak, Michael R. Sperling
Summary: This study compared long-term seizure, neuropsychological, and occupational outcomes of anterior temporal lobectomy (ATL) with and without sparing of mesial structures. Sparing mesial structures did not reduce the chance of stopping seizures but mitigated postoperative verbal memory impairment. Both surgical approaches showed similar occupational outcomes.
EPILEPSY & BEHAVIOR
(2021)
Article
Behavioral Sciences
Yongxiang Zhao, Chao Zhang, Hongyu Yang, Chang Liu, Tao Yu, Jie Lu, Nan Chen, Kuncheng Li
Summary: The study indicates that cortical atrophy caused by TLE can recover after successful surgery, with a greater recovery ability in younger subjects and a positive correlation with cognitive recovery.
EPILEPSY & BEHAVIOR
(2021)
Article
Clinical Neurology
Ezequiel Gleichgerrcht, Daniel L. Drane, Simon S. Keller, Kathryn A. Davis, Robert Gross, Jon T. Willie, Nigel Pedersen, Christophe de Bezenac, Jens Jensen, Ruben Kuzniecky, Leonardo Bonilha
Summary: This study aimed to determine the association between surgical lesions of distinct gray and white structures and connections and favorable postoperative seizure outcomes. The results showed that surgical lesions targeting the hippocampus, amygdala-piriform cortex complex, and entorhinal cortices, as well as disconnection of temporal, frontal, and limbic regions through loss of white matter tracts, were associated with postoperative seizure freedom.
Article
Clinical Neurology
William Louis Gross, Alexander I. Helfand, Sara J. Swanson, Lisa L. Conant, Colin J. Humphries, Manoj Raghavan, Wade M. Mueller, Robyn M. Busch, Linda Allen, Christopher Todd Anderson, Chad E. Carlson, Mark J. Lowe, John T. Langfitt, Madalina E. Tivarus, Daniel L. Drane, David W. Loring, Monica Jacobs, Victoria L. Morgan, Jane B. Allendorfer, Jerzy P. Szaflarski, Leonardo Bonilha, Susan Bookheimer, Thomas Grabowski, Jennifer Vannest, Jeffrey R. Binder
Summary: This study aimed to evaluate the predictive role of preoperative language functional magnetic resonance imaging (fMRI) in naming decline after left temporal lobe epilepsy (TLE) surgery. A large multicenter cohort study was conducted on 81 patients, and the results showed that fMRI was the strongest predictor of naming decline, with a negative correlation. These findings provide evidence supporting the use of preoperative language fMRI in predicting language outcome in TLE surgery patients.