{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T09:01:25Z","timestamp":1780736485527,"version":"3.54.1"},"reference-count":52,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2013,6]]},"abstract":"\n Object<\/jats:title>\n The purpose of this study was to identify the complications associated with the inferior temporal gyrus approach to anterior mesial temporal lobe resection for temporal lobe epilepsy.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This retrospective study examined complications experienced by 483 patients during the 3 months after surgery. All surgeries were performed during 1998\u20132012 by the senior author (F.L.V.).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 13 complications (2.7%) were reported. Complications were 8 delayed subdural hematomas (1.6%), 2 superficial wound infections (0.4%), 1 delayed intracranial hemorrhage (0.2%), 1 small lacunar stroke (0.2%), and 1 transient frontalis nerve palsy (0.2%). Three patients with subdural hematoma (0.6%) required readmission and surgical intervention. One patient (0.2%) with delayed intracranial hemorrhage required readmission to the neuroscience intensive care unit for observation. No deaths or severe neurological impairments were reported. Among the 8 patients with subdural hematoma, 7 were older than 40 years (87.5%); however, this finding was not statistically significant (p = 0.198).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The inferior temporal gyrus approach to mesial temporal lobe resection is a safe and effective method for treating temporal lobe epilepsy. Morbidity and mortality rates associated with this procedure are lower than those associated with other neurosurgical procedures. The finding that surgical complications seem to be more common among older patients emphasizes the need for early surgical referral of patients with medically refractory epilepsy.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2013.3.focus1354","type":"journal-article","created":{"date-parts":[[2013,5,31]],"date-time":"2013-05-31T10:11:43Z","timestamp":1369995103000},"page":"E2","source":"Crossref","is-referenced-by-count":14,"title":["Complications after mesial temporal lobe surgery via inferiortemporal gyrus approach"],"prefix":"10.3171","volume":"34","author":[{"given":"Fernando L.","family":"Vale","sequence":"first","affiliation":[{"name":"Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, Florida; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Reintjes","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, Florida; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hermes G.","family":"Garcia","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Puerto Rico, San Juan, Puerto Rico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0340002","series-title":"Ann Neurol","first-page":"167","article-title":"A multicenter, prospective pilot study of gamma knife radiosurgery for mesial temporal lobe epilepsy: seizure response, adverse events, and verbal memory","volume":"65","author":"Barbaro","year":"2009"},{"key":"b2-0340002","series-title":"Neurology","first-page":"1658","article-title":"Long-term efficacy of gamma knife radiosurgery in mesial temporal lobe epilepsy","volume":"70","author":"Bartolomei","year":"2008"},{"key":"b3-0340002","series-title":"Neurosurgery","first-page":"1","article-title":"Surgical and neurological complications in a series of 708 epilepsy surgery procedures","volume":"41","author":"Behrens","year":"1997"},{"key":"b4-0340002","series-title":"Seizure","first-page":"167","article-title":"Epilepsy surgery, delays and referral patterns\u2014are all your epilepsy patients controlled?","volume":"12","author":"Benbadis","year":"2003"},{"key":"b5-0340002","series-title":"Zentralbl Neurochir","first-page":"128","article-title":"Characterization of hemorrhagic complications after surgery for temporal lobe epilepsy","volume":"65","author":"Clusmann","year":"2004"},{"key":"b6-0340002","series-title":"Epilepsy Behav","first-page":"408","article-title":"MR-guided stereotactic laser ablation of epileptogenic foci in children","volume":"24","author":"Curry","year":"2012"},{"issue":"1 Suppl 1","key":"b7-0340002","series-title":"Neurosurg","first-page":"ONS156","article-title":"Trephine epilepsy surgery: the inferior temporal gyrus approach","volume":"63","author":"Duckworth","year":"2008"},{"key":"b8-0340002","series-title":"Epilepsia","first-page":"733","article-title":"Focal epilepsies in adult patients attending two epilepsy centers: classification of drug-resistance, assessment of risk factors, and usefulness of \u201cnew\u201d antiepileptic drugs","volume":"53","author":"Gilioli","year":"2012"},{"key":"b9-0340002","series-title":"Arch Neurol","first-page":"681","article-title":"Anterior choroidal artery-territory infarction. Report of cases and review","volume":"43","author":"Helgason","year":"1986"},{"key":"b10-0340002","series-title":"Arch Neurol","first-page":"725","article-title":"Population-based analysis of morbidity and mortality following surgery for intractable temporal lobe epilepsy in the United States","volume":"68","author":"McClelland","year":"2011"},{"key":"b11-0340002","series-title":"J Neurosurg","first-page":"316","article-title":"Cortical language localization in left, dominant hemisphere. An electrical stimulation mapping investigation in 117 patients","volume":"71","author":"Ojemann","year":"1989"},{"key":"b12-0340002","series-title":"J Neurosurg","first-page":"1127","article-title":"Failure of temporal lobe resection for epilepsy in patients with mesial temporal sclerosis: results and treatment options. 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