[Results of surgical treatment of epilepsy with bilateral temporal lesions]

Nineteen patients with recurrence of paroxysmal syndrome after temporal focus resection and 37--after stereotaxic destruction of amygdala nuclei from both sides operated in the periods of 1967-1984 and 1989-1999, respectively, were studied. Duration of follow up study was from 1 to 35 years. The results of the study were compared to a level of patient's "real work-status" at the moment of examination. Dynamic postoperative EEG investigation revealed a number of focal activity features. Specifically, there were lost of leading focus signs, moving of intensive epileptogenesis focus to the opposite side or primary revealing of contralateral focus in different postoperative periods. Such patients are in need of anticonvulsive medicine because of possibility of a relapse within 2 or 6 years after surgery. According to the results obtained, open surgical intervention in the leading epileptic focus (anterotemporal lobectomy) in patients with bilateral temporal foci seems to be inexpedient. One of the treatment methods is stereotaxic bilateral amygdalotomy.