Table 3.
Published stereotactic laser amygdalohippocampotomy series
Study | N | Age Range (y) | Mean LOS (d) | Complications | Mean Follow-up (m) | Outcomes |
---|---|---|---|---|---|---|
Curry et al. | 1 | 16 | 4.0 | None | 12.0 | Engel 1D: 1/1 (100%) Note: Patient with MTS |
Willie et al. (included in this series) | 13 | 16-64 | 1.5 repeat: 1.0 |
1 VFD 1 Acute SDH (without neuro deficit) |
15.2* | Engel 1 All: 7/13 (53.8%) MTS: 6/9 (66.7%) |
Waseem et al. | 7 | 54-67 | 1.6 | 2 Partial VFD | 12.0 | Engel 1: 4/5 (80.0%) |
Kang et al. | 20 | 11-66 | 1.2 | 1 VFD (superior quadrantanopsia due to an IPH) 1 transient 4th CNP 1 Suicide |
13.1 | Engel 1 at 1 year: All: 4/11 (36.4%) MTS: 4/10 (40.0%) |
Jermakowicz et al. | 23 | 12-37 | 1 d: 75% 1 – 3 (range)# |
1 VFD (homonymous hemianopia) |
22.4 | Engel 1 All: 16/23 (69.6%) Non-MTS: 5/8 (62.5%) MTS: 11/15 (73.3%) |
Gross et al. (this series) | 58 | 16-67 | 1.4 Repeat: 1.3 |
3 VFD (2 superior quadrantanopsias✝ and 1 homonymous hemianopsia after repeat SLAH) 1 acute SDH and 1 acute IPH with no neurodeficits 4 transient partial CNP (1 3rd nerve and 3 4th nerve✝) |
≥12 | Engel 1 All: 31/58 (53.4%) Non-MTS: 5/15 (33.3%) MTS: 26/43 (60.5%) |
With respect to last SLAH procedure if 12 mo outcome achieved.
Only data reported
One patient had both a superior quadrantanopsia after initial SLAH and a transient 4th nerve palsy after repeat SLAH
Abbreviations: MTS, mesial temporal sclerosis; VFD, visual field deficit; SDH, subdural hematoma; IPH, intraparenchymal hematoma; CNP, cranial nerve palsy