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. 2019 Jun 25;2019(6):CD010541. doi: 10.1002/14651858.CD010541.pub3

Elsharkawy 2009a.

Methods Retrospective case series
Participants 434 German adults from 1 centre
Interventions • Anterior temporal lobe resection included the pole of the temporal lobe. The laterodorsal resection line was delineated by EEG and abnormalities noted by MRI. The size of the resection ws 2.5 to 4 cm in the language‐dominant hemisphere and 3 to 6 cm in the non‐dominant hemisphere. The procedure included removal of the parahippocampal gyrus, hippocampus, and amygdala
 • Apical temporal resection: tailored resection of the lesion in the apex of the temporal lobe with amygdalectomy, and maximal 4 cm laterodorsal cortex from the pole; extension of the resection was guided by ECoG
 • Temporal lesionectomy included only a singular lesion resection as defined by EEG and MRI but saved the eloquent cortex. In the case of dual pathology a lesionectomy and a selective amygdalohippocampectomy were performed, and the dorsal resection was guided via intraoperative ECoG
 • Selective amygdalohippocampectomy included only a resection of the hippocampus or mesial structures based on MRI and intraoperative findings (5 people only)
Outcomes Seizure outcome by Engel class determined at 24 months and 5, 10, and 16 years after surgery
Notes