Table of Contents
Epilepsy Research and Treatment
Volume 2012, Article ID 769825, 17 pages
http://dx.doi.org/10.1155/2012/769825
Review Article

Microsurgical Anatomy of the Temporal Lobe and Its Implications on Temporal Lobe Epilepsy Surgery

1Department of Neurosurgery, University of Florida, Gainesville, FL 32610, USA
2Epilepsy Surgery Program, Department of Neurosurgery, University of Pittsburg, Pittsburgh, PA 15213, USA
3Division of Neurosurgery, College of Medicine, University of Sao Paulo, 01232-010 Sao Paulo, SP, Brazil
4Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA

Received 30 November 2011; Revised 6 February 2012; Accepted 7 February 2012

Academic Editor: Seyed M. Mirsattari

Copyright © 2012 Baris Kucukyuruk et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. We review the neuroanatomical aspects of the temporal lobe related to the temporal lobe epilepsy. The neuronal, the ventricular, and the vascular structures are demonstrated. Methods. The previous articles published from the laboratory of the senior author are reviewed. Results. The temporal lobe has four surfaces. The medial surface has a complicated microanatomy showing close relation to the intraventricular structures, such as the amygdala or the hippocampus. There are many white matter bundles in the temporal lobe showing relation to the extra- and intraventricular structures. The surgical approaches commonly performed to treat temporal lobe epilepsy are discussed under the light of these data. Conclusion. A thorough knowledge of the microanatomy is necessary in cortical, subcortical, and intraventricular structures of the temporal lobe to achieve better results.