Publications by authors named "Bernhard Jochen Steinhoff"
Introduction: Functional hemispherectomy (FH) is a well-established therapeutic option for children with epilepsy with parenchymal damage confined to one hemisphere, yet its application in adults remains rare. The intention of our study was to investigate postoperative clinical and epileptological outcome in adults who received FH for intractable epilepsy.
Materials And Methods: We retrospectively analyzed 12 adult patients (18-56years) with intractable epilepsy due to unihemispheric pathology.
Article Synopsis
- Patients who underwent mesiotemporal lobe resection for epilepsy often experience visual field defects (VFD), which can impact activities like driving.
- The study reviewed data from 366 patients who had various surgical procedures, focusing on the types and severity of VFD post-surgery.
- Results indicated that 73% of patients experienced VFD, with 48% having defects that affected their ability to drive; however, those who had a subtemporal approach had significantly fewer and less severe driving-relevant VFD.
Background: Mesiotemporal lobe epilepsy is one of the most frequent causes for pharmacoresistant epilepsy. Different surgical approaches to the mesiotemporal area are used.
Objective: To analyze epileptological and neuropsychological results as well as complications of different surgical strategies.
Background: Mesial temporal lobe epilepsy (MTLE) is one of the most common forms of epilepsy refractory to medical therapy. Among different surgical approaches, selective amygdalohippocampectomy has gained increasing interest for its rationale of isolated removal of the epileptogenic mesiotemporal area.
Objective: To summarize our experience with surgical treatment of MTLE in 162 patients using the transsylvian approach and to analyze possible effects of length of hippocampal resection and postoperative gliosis on seizure and cognitive outcome.