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Epilepsy Surgery Procedures |
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Surgery is tailored to the individual, depending on the type and location of the seizure. During surgery, intraoperative electrocorticography is performed in which the EEG is recorded directly from the brain surface prior to resection. Functional cortical mapping, including language mapping, may be performed intraoperatively to minimize the risk of neurologic deficit.
The ideal surgery candidate for surgery has seizures that always start in the same small area of the brain; this area of the brain is not critical for normal brain function; and this area can be safely removed in a surgical procedure.
The UCSD Epilepsy Center is recognized for its experience in performing the following types of procedures:
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Tailored Temporal Lobe Resection - Removes the anterior temporal lobe, and portions of the amydala and hippocampus, tailored to the individual patient.
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Extratemporal resection - Removes a portion of another brain lobe that contains the seizure focus such as the frontal lobe, parietal lobe or occipital lobe.
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Modified Hemispherectomy - Removes major areas of damaged brain in multiple lobes on one side.
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Corpus Callosal Section - Cuts through the fiber "cables" that connect the two sides of the brain to reduce drop attacks or other generalized seizures that cause falls and injuries.
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Resection of Focal Structural Lesion - Removes a small area of abnormality such as a tumor, vascular abnormality, cortial dipplana or infection. Also called a "lesionectomy."
Epilepsy Center
UCSD Thornton Hospital
9300 Campus Point Drive, Mail Code 7740
La Jolla, CA
(858) 657-6080 |