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Surgical Treatment

Epilepsy surgery is undertaken at the Department of General Neurosurgery of the Neurocentre. Considerable experience with the complete range of surgical forms of intervention has been collected. In the following, the surgical procedures are considered individually.

1. Temporal Lobectomy/Topectomy

1. Temporal Lobectomy/Topectomy

Removal of the temporal lobe or of specific areas by a lateral site of entry. This can be carried out in conjunction with a Amygdalohippocampectomy

2. Selective Amygdalohippocampectomy

2. Selective Amygdalohippocampectomy

Exclusive removal of epileptogenic temporomesial areas by a transsylvian site of entry

3. Extratemporal Lobectomy/Topectomy

3. Extratemporal Lobectomy/Topectomy

Removal of a lobe on the brain or a specific resection of the epileptogenic zone within the lobe

4. Multilobectomy

4. Multilobectomy

Resection of specific alterations in several brain lobes

5. Multiple subpiale Transsections

5. Multiple subpiale Transsections

Transection of horizontal nerve fibre connections (needed to spread seizure) while maintaining the vertical connections (responsible for the function)

6. Hemispherectomy/ Hemispherotomy

6. Hemispherectomy/ Hemispherotomy

Disconnection of the diseased (epileptogenic) hemisphere

7. Callostomy

7. Callostomy

Palliative procedure that hinders the spread of the epileptic event from the one to the other hemisphere by transection of the corpus callosum

8. Implantation of a vagus stimulator

8. Implantation of a vagus stimulator

Procedure that should hinder the formation of this seizure by inducing desynchronisation of electric activity in the brain

Medical Center - University of Freiburg

Phone: +49 761 270 21310
Fax: +49 761 270 19310

info-ims@uniklinik-freiburg.de