✔️ Head turned 90* and held with pins
✔️ Most commonly a "question mark" temporal incision
✔️ a flap based on temporalis muscle elevated
✔️ a subtemporal craniectomy allows visualisation of entire anterior temporal lobe
✔️ anterior 6-6.5 cms of temporal lobe exposed
✔️ surface or depth electrocorticography employed
✔️ map the lesion
✔️ amygdala, hippocampus/ anterior temporal lobe removed
✔️ Temporal lobectomy involves resection of both lateral and medial (uncus, hippocampal formation etc) temporal structures, mostly under an operating microscope
✔️ Complications: Injury to brainstem, 3rd and 4th cranial nerves , Middle or Posterior Cerebral arteries
✔️ closure of dura, bone flap and scalp concludes the surgery
#epilepsy , #seizures ,#neurosurgery , #EpilepsySurgery , #NeuroAnaesthesia ,#NeuroAnesthesia , #speech ,#wadatest
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