A neurosurgeon's view: Outcome after RF-ablation for mTLE

Epilepsy Res. 2018 May:142:126-130. doi: 10.1016/j.eplepsyres.2017.08.011. Epub 2017 Aug 25.

Abstract

We reviewed the current RF-ablation technique for mTLE and complications relating to the procedure. RF-ablation of the amygdalohippocampal complex (AHC) is a stereotactic technique, performed under local anesthesia, which achieved long-term seizure-free clinical seizure outcomes in 71% of mTLE patients. Occipital access is used and thermolesions are made from a single trajectory in the long axis of the AHC. RF-ablation has shown a low complication rate and clinical seizure outcomes seem to be comparable with open surgical techniques.

Keywords: Complication; Epilepsy surgery; Stereotactic amygdalohippocampectomy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Brain / diagnostic imaging
  • Brain / surgery
  • Epilepsy, Temporal Lobe / diagnostic imaging
  • Epilepsy, Temporal Lobe / surgery*
  • Humans
  • Magnetic Resonance Imaging
  • Neurosurgeons / psychology*
  • Radiofrequency Ablation / methods*
  • Stereotaxic Techniques
  • Treatment Outcome