Temporal Lobe Epilepsy Surgery - A New Method

The standard operation for temporal lobe epilepsypreserved. In addition, "fimbria", which is a major
includes removal of the hippocampus. This is anmemory tract, is also preserved.
undesirable option because hippocampus is a majorThe procedure was first performed by Dr. H Shimizu
player in memory formation. In addition, it a majorfrom Tokyo, Japan (Journal of Clinical Neurosciences
source for stem cells which are important in the2006:13:322-328) and recently by Dr. A Patil
healing process of the brain following minor strokes(Neurosurgery, 65(2):423, August 2009) at the
and injuries. Furthermore, faulty functioning of theseUniversity of Nebraska Medical Center in Omaha, NE
cells may play a role in the symptoms of depression(USA). In their short series with relatively short follow
and Alzheimer's disease. In addition, to the aboveup the seizure outcome were comparable to that
mentioned factors, there are some patients in whomobtained by standard surgery. In addition, the verbal
standard procedure can not be done because theymemory either improved or stayed stable; and there
have a higher risk for memory loss. A new procedurewere no serious complication from the procedures.
known as "multiple hippocampal transection" (MHT)Though the series are small and the follow ups are
was therefore devised.short the outcomes are very encouraging. It may,
In the new operation seizure circuits within thetherefore, be a good option for people who can not
hippocampus are disrupted by making multiple verticalunder go the standard procedure due to the high risk
cuts while the functional fibers and stem cells arefor memory loss.