Cortical projection of the inferior choroidal point as a reliable landmark to place the corticectomy and reach the temporal horn through a middle temporal gyrus approach

Arquivos de Neuro-Psiquiatria

Thomas Frigeri¹  Albert Rhoton¹  Eliseu Paglioli¹  Ney Azambuja¹ 

关键词: amygdalohippocampectomy;    microsurgical anatomy;    inferior choroidal point;    temporal lobe;    temporal horn;    amygdalohippocampectomia;    anatomia microcirúrgica;    ponto coroideo inferior;    lobo temporal;    corno temporal;   

DOI  :  10.1590/0004-282X20140165

来源: SciELO

【 摘 要 】

Objective To establish preoperatively the localization of the cortical projection of the inferior choroidal point (ICP) and use it as a reliable landmark when approaching the temporal horn through a middle temporal gyrus access. To review relevant anatomical features regarding selective amigdalohippocampectomy (AH) for treatment of mesial temporal lobe epilepsy (MTLE). Method The cortical projection of the inferior choroidal point was used in more than 300 surgeries by one authors as a reliable landmark to reach the temporal horn. In the laboratory, forty cerebral hemispheres were examined. Conclusion The cortical projection of the ICP is a reliable landmark for reaching the temporal horn.

【 授权许可】

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