Review Article

Gamma Knife Radiosurgery for Mesial Temporal Lobe Epilepsy

Table 1

Trials of Gamma Knife radiosurgery for MTLE.

StudyNO. of subjectsDose (Gy)Volume of treatment (mL)Minimum followupSeizure freedom

Régis et al. [15]7256.25–6.922*6 (86%)
Cmelak et al. [16]115n/a120
Kawai et al. [17]2186.2–8.7180
Srikijvilaikul et al. [18]5206.1–8.7240
Régis et al. [19]21245.5–92413 (62%)
Prayson and Yoder [20]4206.1–8.7240
Hoggard et al. [21]8256.2 ± 0.7243 (37%)
Barbaro et al. [22]5.5–7.524
 High dose (24 Gy)132410 (77%)
 Low dose (20 Gy)172010 (59%)
Vojtěch et al. [23]5.2–8.9390
 High dose (25 Gy)6250
 Low dose (18–20 Gy)818–200

Total9242 (46%)
 High dose (≥24 Gy) 55 32 (58%)
 Low dose (<24 Gy) 37 10 (27%)

*The manuscript lists both 22 and 24 months as the minimum followup [15]. Due to the discrepancy, we list the lower of the two values in this table.
Seizure freedom is defined as Engel Class IA.