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About the Surgery

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Temporal Lobectomy

Temporal lobectomy is the removal of a segment of the temporal lobe of the mind. It is the most well-known type of epilepsy medical procedure and is likewise the best kind. After medical procedure, 60% to 70% of patients are free of seizures that impair consciousness or cause abnormal developments. A group of these patients still experiences emanations, sensations (smells, for example) without an external stimulus.

Who is a Candidate for Temporal Lobectomy?

Temporal lobectomy might be an alternative in case you have:

  • Seizures that are uncontrolled with pharmaceuticals or you have severe reactions to the solutions
  • Central seizures that begin in one zone of the brain (localised seizure focus)
  • Seizures that affect your quality of life
  • Seizures caused by an injury, for example, scar tissue, a brain tumor, arteriovenous malformation (AVM), or birth deformity.
  • Seizure release that spreads to the entire brain (secondary generalisation)

How is the Diagnosis Made for Seizures?

  • Video EEG You have to remain in the healing facility for 3-5 days to have it done. You'll have EEG anodes on your scalp while a camera records you. This enables specialists to examine your brainwaves and action amid and between seizures to detect the source of seizures. A video EEG doesn't hurt, and you can do most things while you are undergoing it.
  • SPECT outputs and MRI These tests measure the bloodstream in your brain. They likewise help in locating where seizures begin.
  • MEG This test is just like an EEG but more sensitive; this test pinpoints the source of seizures. It likewise finds where your brain is active for speech and movement to secure those regions amid your medical procedure. MEG uses an open scanner that fits over your head like a protective cap. It takes an hour or two to perform this test.
  • Wada test This tells which side of your cerebrum controls speech and is better with memory.

How is Temporal Lobectomy Performed?

There are five primary steps to the temporal lobectomy. The medical procedure takes roughly 3 to 4 hours.

  • Set up the patient The doctor asks you to lie on your back on the table. General anaesthesia is given to you. Once you are asleep, your head is set in a skull fixation gadget appended to the table that holds your head in position amid the surgery. Contingent upon where the cut will be made, your hair might be shaved.
  • Perform craniotomy After your scalp is ready, the specialist makes a cut to uncover the skull. A roundabout opening in the skull, called a craniotomy, is drilled. This hard opening uncovered the defensive covering of the mind, called the dura mater, which is opened with scissors.
  • Perform cerebrum mapping Intraoperative EEG recording and stimulation with subdural cathodes might be performed to delineate zones, or reconfirm the epileptic zone. The amount of the sidelong transient cortex is included. Using an electrical probe, the specialist tests areas on the brain's surface in a steady progression.
  • Remove the seizure focus area Glancing through an operative magnifying lens, the specialist gently retracts the brain and opens a passage to the seizure focus region. The specialist at that point removes that zone of brain where seizures happen.
  • Close the craniotomy The retractors are removed and the dura is shut with sutures. The bone fold is supplanted and secured to the skull with titanium plates and screws. The muscles and skin are sutured together.

What Postoperative Complications May Arise?

Some complications related to a craniotomy may include:

  • Stroke
  • Seizures
  • Swelling of the brain, which may require a second craniotomy
  • Nerve damage, which may cause muscle paralysis or weakness
  • Cerebrospinal fluid leak, which may require repair
  • Loss of mental functions
  • Permanent brain damage with associated disabilities

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Hospitals

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Indraprastha Apollo

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