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AES 2022 | Temporal plus epilepsy surgery

Carmen Barba, MD, PhD, Meyer Children’s Hospital, University of Florence, Florence, Italy, shares an overview of temporal plus epilepsy (TPE) management. TPE is a rare epilepsy syndrome that is difficult to treat given the complexity of the epileptogenic zone. An anterior temporal lobectomy, the most established procedure for temporal lobe epilepsy, cannot cure patients with TPE as the epileptogenic zone extends beyond the temporal lobe into neighboring eloquent areas. A recent study of 21 patients with a temporal plus epileptogenic zone showed that multilobar resection including the temporal lobe was associated with better results than unilobar temporal operations. Prof. Barba emphasizes the importance of detailed pre-surgical assessment with stereotactic electroencephalography (SEEG) when TPE is suspected. SEEG can help to identify this phenomenon and define structures for additional extra-temporal resection. This interview took place at the American Epilepsy Society (AES) Annual Meeting 2022 in Nashville, TN.

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