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Anesthesia for Temporal Lobe Epilepsy

Anesthesia for Temporal Lobe Epilepsy 2025

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The document discusses anesthetic considerations for temporal lobe epilepsy surgery, focusing on the challenges faced by neuroanesthetists in providing a safe and comfortable perioperative experience while ensuring optimal conditions for surgical procedures. It reviews the choice between general anesthesia and local anesthesia with sedation, highlighting the importance of avoiding interference with intraoperative electrocorticographic (ECoG) recordings and facilitating functional cortical mapping. The article emphasizes the need for careful preoperative assessment and outlines various sedation techniques, including the use of propofol and opioids, to enhance patient comfort during awake craniotomy.

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What type of surgery is done for epilepsy?

The most common surgical procedure for epilepsy is the removal of a small portion of the temporal lobe during a procedure called a temporal lobe resection. More than 70 percent of people who have this surgery at NYU Langone become seizure-free or enjoy a marked improvement in seizure control.

What kind of anaesthesia is used for epilepsy patients?

anaesthetic agents. The barbiturates (thiopental, methohexital, and pentobarbital) and propofol are well established as agents for the treatment of refractory status epilepticus.

What is the success rate of temporal lobe epilepsy surgery?

Approximately 70% of people who undergo a temporal lobe resection have a positive result. A positive result includes being free from seizures or having only rare disabling seizures.

What is temporal lobe surgery for epilepsy?

What Is a Temporal Lobectomy? A temporal lobectomy, or temporal lobe resection, is a neurosurgical procedure that removes the front part of the temporal lobe of the brain to treat drug-resistant epilepsy. Each person has two temporal lobes, located beneath the skull on the side of the head in the temple region.

What is the drug of choice for temporal lobe epilepsy?

For patients with MTLE, the most effective AEDs are those used to treat focal epilepsies such as carbamazepine, oxcarbazepine, levetiracetam, lamotrigine, and topiramate. [41] These agents can be monotherapy or, more often, in combination to achieve adequate seizure freedom.

How severe is temporal lobe epilepsy?

Overall, the prognosis for people with drug-resistant medial temporal lobe epilepsy includes a higher risk for memory and mood problems, lower quality of life, and an increased risk for sudden unexpected death in epilepsy (SUDEP). If surgery can be done to control seizures, these risks and problems can be improved.

How long does a temporal lobectomy take?

Anterior temporal lobectomy: what to expect This operation is performed under general anesthesia, and takes about 4-5 hours. A question-mark-type incision is made starting just in front of the ear and extends backwards above the ear and then forwards toward the temporal area.

Anesthesia for Temporal Lobe Epilepsy 2025

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