Surgical Anatomy of the Temporal Lobe for Epilepsy Surgery
Performing temporal lobe epilepsy (TLE) surgery needs secure knowledge of the surgical anatomy.
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GUENOT
Department of Neurosurgery , Hopital Neurologique P. Wertheimer, University of Lyon, France With 20 Figures Contents Summary . . .. . . . . . . . . . . .. . . .. .. . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . Introduction... .... . ... . ... ...... . .... . .... .. ....... ....... .... . ... . . ...... .. . Descriptive Anatomy . . . .. .. . .. . .. .. . . . . . . . . . .. . .. . .. . . . . . . . . . . .. . . .. . .. . .. . . The Neocortical Temporal Lobe.. ... .. .. ....... .......... . . ............. . The Mesial Temporal Lobe . .. . .. ...... .. .. .. .. .... .. .. .. .. .. .. .. .. .. .. .. . The Association Fibers . . .... . . .. .. . ... . . . ... . . . .. . . . . . . . . ... . .. ... . . ... . . . Short Association Fibers. . . . .. . . . ... . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . Long Ipsihemispheric Association Fascicles. . .. . . . . . . . .. . . . . . . . . . . . . .. . Interhemispheric Commissural Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The Projection Fibers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Functional Anatomy .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . Cortical Areas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Limbic System...... . ....... ... .. . .. ... ... ... .. . .. ... ... ... .. . .. .. ....... . . Vascular Anatomy. . . . .. . .. ... .. . .. ... .... . . .. .. . . .... . .. . .. ......... . .. ... .. Arterial Relationships ... ...... .. ... ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Veins. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . Anatomical Characteristics of the Various Modalities of Temporal Resections. .. .. . .... .. . .... .. .. . . .... .. . .. .. . .. . . . . .. . . . ... . . . .. . . . .. .. . .. .. . . Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . References.. .. . . .. .. . . .. . . . .. . . . . .. . . .. . .. .. . . . . . . .. . .. . ......... .. .......... .
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Summary Performing temporal lobe epilepsy (TLE) surgery needs secure knowledge of the surgical anatomy. As regards morphological anatomy, the required knowledge includes ability to identify the temporal sulci and gyri with their posterior landmarks, the opercula and borders of the insula on the convexity surfaces, as well as the mesial structures.
J. D. Pickard et al. (eds.), Advances and Technical Standards in Neurosurgery 28 © Springer-Verlag/Wien, 2003
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M. SINDOU and M.
GUENOT
The anatomical structures delineating the temporal horn have also to be wellrecognized by the surgeon from inside
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