Lobectomia temporal anterior en el tratamiento de epilepsia temporal mesial: detalles técnicos y perspectivas en el control de las convulsiones

Abstract

The anterior temporal lobectomy is a valuable procedure in the management of seizure disorders caused by mesial temporal lobe epilepsy. It has been described modifications in the techniques of treatment of mesial temporal lobe epilepsy whose the purpose is reduce the incidence of these complications while still achieving seizure control. Objectives: To discuss the technical details, modalities, risks, complications and results of anterior temporal lobectomy in patients affected by mesial temporal lobe epilepsy. Methods: It was performed bibliographical consultation, using the databases MEDLINE, LILACS, SciELO, PubMed, utilizing language as selection criteria, choosing preferably recent articles in Portuguese, Spanish or English. Results: The anterior temporal lobectomy improves the quality of life of patients affected by mesial temporal lobe epilepsy. Furthermore, it has been described associated to a lower technical difficulty, shorter surgical time and better control of seizures when compared to selective amygdalohippocampectomy. However, the selective approaches has been described a lower rates of visual complications when compared to ATL. Conclusions: In spite of the results described in the literature, there is no important study comparing ATL versus all selectives amygdalohippocampectomy techniques, what would be for future necessary for an important source of data about this topic.