• J Ark Med Soc · Sep 2015

    Review

    Radiosurgery in the Management of Intractable Mesial Temporal Lobe Epilepsy.

    • José Peñagarícano and Demitre Serletis.
    • J Ark Med Soc. 2015 Sep 1;112(5):66-7.

    AbstractMesial temporal lobe epilepsy (MTLE) describes recurrent seizure activity originating from the depths of the temporal lobe. MTLE patients who fail two trials of medication now require testing for surgical candidacy at an epilepsy center. For these individuals, temporal lobectomy offers the greatest likelihood for seizure-freedom (up to 80-90%); unfortunately, this procedure remains largely underutilized. Moreover, for select patients unable to tolerate open surgery, novel techniques are emerging for selective ablation of the mesial temporal structures, including stereotactic radiosurgery (SRS). We present here a review of SRS as a potential therapy for MTLE, when open surgery is not an option.

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