Current state of the art of traditional and minimal invasive epilepsy surgery approaches
Introduction: Open resective surgery remains the main treatment modality for refractory epilepsy, but is often considered a last resort option due to its invasiveness. Research question: This manuscript aims to provide an overview on traditional as well as minimally invasive surgical approaches in m...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Brain and Spine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772529424000110 |
| _version_ | 1797281199775809536 |
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| author | Fabian Winter Marie T. Krueger Daniel Delev Tom Theys Dirk MP Van Roost Kostas Fountas Olaf E.M.G. Schijns Karl Roessler |
| author_facet | Fabian Winter Marie T. Krueger Daniel Delev Tom Theys Dirk MP Van Roost Kostas Fountas Olaf E.M.G. Schijns Karl Roessler |
| author_sort | Fabian Winter |
| collection | DOAJ |
| description | Introduction: Open resective surgery remains the main treatment modality for refractory epilepsy, but is often considered a last resort option due to its invasiveness. Research question: This manuscript aims to provide an overview on traditional as well as minimally invasive surgical approaches in modern state of the art epilepsy surgery. Materials and methods: This narrative review addresses both historical and contemporary as well as minimal invasive surgical approaches in epilepsy surgery. Peer-reviewed published articles were retrieved from PubMed and Scopus. Only articles written in English were considered for this work. A range of traditional and minimally invasive surgical approaches in epilepsy surgery were examined, and their respective advantages and disadvantages have been summarized. Results: The following approaches and techniques are discussed: minimally invasive diagnostics in epilepsy surgery, anterior temporal lobectomy, functional temporal lobectomy, selective amygdalohippocampectomy through a transsylvian, transcortical, or subtemporal approach, insulo-opercular corticectomies compared to laser interstitial thermal therapy, radiofrequency thermocoagulation, stereotactic radiosurgery, neuromodulation, high intensity focused ultrasound, and disconnection surgery including callosotomy, hemispherotomy, and subpial transections. Discussion and conclusion: Understanding the benefits and disadvantages of different surgical approaches and strategies in traditional and minimal invasive epilepsy surgery might improve the surgical decision tree, as not all procedures are appropriate for all patients. |
| first_indexed | 2024-03-07T16:53:10Z |
| format | Article |
| id | doaj.art-898a7acd21a04a23b1d53f3d94aa326d |
| institution | Directory Open Access Journal |
| issn | 2772-5294 |
| language | English |
| last_indexed | 2024-03-07T16:53:10Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brain and Spine |
| spelling | doaj.art-898a7acd21a04a23b1d53f3d94aa326d2024-03-03T04:30:33ZengElsevierBrain and Spine2772-52942024-01-014102755Current state of the art of traditional and minimal invasive epilepsy surgery approachesFabian Winter0Marie T. Krueger1Daniel Delev2Tom Theys3Dirk MP Van Roost4Kostas Fountas5Olaf E.M.G. Schijns6Karl Roessler7Department of Neurosurgery, Medical University of Vienna, AustriaDepartment of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, The National Hospital for Neurology and Neurosurgery, London, UK; Department of Stereotactic and Functional Neurosurgery, Medical Center of the University of Freiburg, Freiburg, GermanyDepartment of Neurosurgery, Faculty of Medicine, RWTH Aachen University, Aachen, Germany; Center for Integrated Oncology, Universities Aachen, Bonn, Cologne, Düsseldorf (CIO ABCD), GermanyDepartment of Neurosurgery, Universitair Ziekenhuis Leuven, UZ Leuven, BelgiumDepartment of Neurosurgery, Universitair Ziekenhuis Gent, BelgiumDepartment of Neurosurgery, University of Thessaly, GreeceDepartment of Neurosurgery, Maastricht University Medical Center, Maastricht, the Netherlands; School for Mental Health and Neuroscience (MHeNS), University Maastricht, Maastricht, the Netherlands; Academic Center for Epileptology, Maastricht University Medical Center & Kempenhaeghe, Maastricht, Heeze, the NetherlandsDepartment of Neurosurgery, Medical University of Vienna, Austria; Corresponding author. Department of Neurosurgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.Introduction: Open resective surgery remains the main treatment modality for refractory epilepsy, but is often considered a last resort option due to its invasiveness. Research question: This manuscript aims to provide an overview on traditional as well as minimally invasive surgical approaches in modern state of the art epilepsy surgery. Materials and methods: This narrative review addresses both historical and contemporary as well as minimal invasive surgical approaches in epilepsy surgery. Peer-reviewed published articles were retrieved from PubMed and Scopus. Only articles written in English were considered for this work. A range of traditional and minimally invasive surgical approaches in epilepsy surgery were examined, and their respective advantages and disadvantages have been summarized. Results: The following approaches and techniques are discussed: minimally invasive diagnostics in epilepsy surgery, anterior temporal lobectomy, functional temporal lobectomy, selective amygdalohippocampectomy through a transsylvian, transcortical, or subtemporal approach, insulo-opercular corticectomies compared to laser interstitial thermal therapy, radiofrequency thermocoagulation, stereotactic radiosurgery, neuromodulation, high intensity focused ultrasound, and disconnection surgery including callosotomy, hemispherotomy, and subpial transections. Discussion and conclusion: Understanding the benefits and disadvantages of different surgical approaches and strategies in traditional and minimal invasive epilepsy surgery might improve the surgical decision tree, as not all procedures are appropriate for all patients.http://www.sciencedirect.com/science/article/pii/S2772529424000110Epilepsy surgeryMinimally invasiveCurative therapeutic approach |
| spellingShingle | Fabian Winter Marie T. Krueger Daniel Delev Tom Theys Dirk MP Van Roost Kostas Fountas Olaf E.M.G. Schijns Karl Roessler Current state of the art of traditional and minimal invasive epilepsy surgery approaches Brain and Spine Epilepsy surgery Minimally invasive Curative therapeutic approach |
| title | Current state of the art of traditional and minimal invasive epilepsy surgery approaches |
| title_full | Current state of the art of traditional and minimal invasive epilepsy surgery approaches |
| title_fullStr | Current state of the art of traditional and minimal invasive epilepsy surgery approaches |
| title_full_unstemmed | Current state of the art of traditional and minimal invasive epilepsy surgery approaches |
| title_short | Current state of the art of traditional and minimal invasive epilepsy surgery approaches |
| title_sort | current state of the art of traditional and minimal invasive epilepsy surgery approaches |
| topic | Epilepsy surgery Minimally invasive Curative therapeutic approach |
| url | http://www.sciencedirect.com/science/article/pii/S2772529424000110 |
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