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Page 66
Volume 09
Journal of Alzheimers Disease & Parkinsonism
ISSN: 2161-0460
Epilepsy 2019
Parkinsons Congress 2019
August 29-31, 2019
JOINT EVENT
conferenceseries
.com
August 29-31, 2019 Vienna, Austria
&
5
th
International Conference on
Epilepsy & Treatment
5
th
World Congress on
Parkinsons & Huntington Disease
Amygdalohypocampectomy as a treatment for amygdala lesions: Complications and outcome
Guive Sharifi
Shahid Beheshti University of Medical Sciences, Iran
S
elective amygdalohypocampectomy is one of the main approaches for treating mesial temporal lobe epilepsy.
We herewith describe nine cases of amygdala lesions which were treated by selective amygdalectomy with
hippocampus saving procedure. Also, we explain trans-middle temporal gyrus trans-ventricular approach for
selective amygdalectomy. We performed selective amygdalectomy with hippocampal saving procedure. we prefered
trans middle temporal gyrus transventricular approach. We adopted pterional craniotomy with extensive exposure
of base and posterior of the temporal lobe. Posterior margin of resection in intraventricular part of amygdala was
considered inferior choroidal point. medially anterior part of the uncus was resected until reaching to ambient cistern
. Transcortical transventricular approach was applied for selective amygdalectomy in all patients.nine pure amygdala
lesions was surgically treated from March 2012 to July 2018. Seven of the patients had neoplastic lesions and in two
of them gliosis was detected. Total resection of lesion was achieved in all cases based on the post-operative MRI. No
remarkable complication and surgically-related new neurological deficite
occurred.Weconsider that resection of
only this part during selective amygdalohyppocampectomy may be enough for disconnection of amygdala circuits
and control the seizure and accordingly reduce time of surgery and complications.
J Alzheimers Dis Parkinsonism 2019, Volume 09