Anterior temporal lobectomy versus selective amygdalohippocampectomy in patients with mesial temporal lobe epilepsy Lobectomia temporal anterior versus amigdalohipocampectomia seletiva para epilepsia de lobo temporal mesial

It is estimated that one third of patients with seizures have medically intractable epilepsy (MIE) – defined as failure of two antiepileptic medications given at appropriate doses1,2. Temporal lobe epilepsy (TLE) is the most common form of MIE. The most frequent pathologic substrate related to this condition is sclerosis and atrophy of the hippocampus – disease named mesial temporal sclerosis (MTS) 3. Presently, there are multiple approaches to resection of TLE;, the most common being the standard anterior temporal lobectomy (ATL) and selective amygdalohippocampectomy