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Radiologic assessment of temporal lobe epilepsy
E L Leonard1, J M Stoane, J P Karis
1Clinic for Neurobehavioral Disorders, Barrow Neurological Institute, Phoenix, Ariz., USA.
Radiologic Technology
|August 19, 1999
Summary
Neuroimaging is crucial for epilepsy patients undergoing evaluation for resective surgery after medication failure. This review details radiologic assessments and the intracarotid amobarbital procedure for surgical candidates.
Area of Science:
- Neurology
- Radiology
- Neurosurgery
Background:
- Epilepsy management often involves a multidisciplinary approach.
- Refractory epilepsy necessitates advanced diagnostic techniques.
- Surgical intervention is a viable option for select epilepsy patients.
Purpose of the Study:
- To outline neuroimaging procedures for epilepsy patients considered for resective surgery.
- To describe the role of radiologic assessment in pre-surgical evaluation.
- To explain the intracarotid amobarbital procedure in the context of epilepsy surgery.
Main Methods:
- Review of neuroimaging techniques relevant to epilepsy surgery.
- Description of the intracarotid amobarbital procedure (Wada test).
- Focus on pre-surgical evaluation protocols for refractory epilepsy.
Main Results:
- Neuroimaging is essential for identifying potential surgical targets in epilepsy.
- The intracarotid amobarbital procedure aids in lateralizing cognitive and language functions.
- Radiologic assessments guide surgical planning for resective epilepsy surgery.
Conclusions:
- Comprehensive neuroimaging and functional assessments are critical for successful epilepsy surgery.
- These procedures help determine patient eligibility and optimize surgical outcomes.
- Advanced evaluation techniques improve the management of medically intractable epilepsy.