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Alternative to Epilepsy Surgery Offered by MRI-Guided Laser Treatment

By MedImaging International staff writers
Posted on 10 Jun 2014
For patients with mesial temporal lobe epilepsy (MTLE) that cannot be controlled by drugs, a minimally invasive laser procedure performed under magnetic resonance imaging (MRI) guidance provides a safe and effective alternative to surgery, according to new research.

The study’s findings were published in the June 2014 issue of Neurosurgery, the official journal of the Congress of Neurological Surgeons. “Real-time magnetic resonance-guided stereotactic laser amygdalohippocampotomy [SLAH] is a technically novel, safe, and effective alternative to open surgery,” according to the new research by Dr. Robert E. Gross, from the Emory University School of Medicine (Atlanta, GA, USA) and colleagues.

The researchers report their experience with MRI-guided SLAH in 13 adult patients with epilepsy mapped to an area of the brain called the mesial temporal lobe. The patients, median age 24 years, had “intractable” seizures in spite of treatment with antiepileptic drugs.

In the SLAH procedure, a saline-cooled fiberoptic laser probe was precisely targeted to the brain region—the amygdalohippocampal complex. Using real-time MRI guidance, the neurosurgeon was able to target the area of the brain responsible for seizure activity and ablate by computer-controlled laser energy, without injuring the surrounding brain tissue.

The technical features of the procedure were effectively carried out in all patients. Using thermal imaging and MRI guidance, the surgeons were able to see the area of laser ablation as treatment proceeded. The average laser exposure time was just under 10 minutes. On average, 60% of the amygdalohippocampal complex was destroyed in the SLAH procedure; the average length of the ablated area was 2.5 cm. Median time spent in the hospital was only one day compared to a typical two to five-day stay after standard temporal lobe surgery, and SLAH patients did not have to be admitted to the intensive care unit.

Most significantly, the procedure was effective in lessening or eliminating seizures in patients with MTLE. At a median of 14 months after SLAH, 10 out of 13 patients achieved meaningful seizure reductions, while seven were free of disabling seizures. This included six out of nine patients whose epilepsy was caused by a defect called mesial temporal sclerosis. Although some complications occurred, none were directly caused by laser application. Two patients had an additional SLAH procedure to control seizures, and another patient underwent standard open surgery.

Open brain surgery is the standard treatment for patients with intractable MTLE. Surgery has a high success rate, but carries a significant risk of neurological and cognitive (intellectual) impairment. Minimally invasive approaches like the new MRI-guided laser ablation technique might produce similar seizure control with lower risks than surgery.

The new findings shows “technical feasibility and encouraging results” with the minimally invasive MRI-guided SLAH technique for patients with MTLE. Effectiveness in relieving or eliminating seizures approaches that of surgery—possibly in particular among patients whose seizures are caused by mesial temporal sclerosis. “These are promising results considering that this reflects our initial experience, and results may improve with greater experience with this novel technique,” noted Dr. Gross. “Such minimally invasive techniques may be more desirable to patients and result in increased use of epilepsy surgery among the large number of medically intractable epilepsy patients,” Dr. Gross and colleagues concluded. They stressed that a larger, longer-term study of SLAH is underway, including assessment of the effects on cognitive function as well as seizures.

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88 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
89 (34.093856811523): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`
90 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1
91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1
92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1
93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1
94 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
105 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
106 (59.127807617188): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294752913 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
107 (487.8044128418): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294752913 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
108 (80.82389831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
109 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
110 (54.121017456055): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294752913 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
111 (502.10952758789): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294752913 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (696.89750671387): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
113 (315.18936157227): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
114 (189.06593322754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
115 (91.791152954102): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
116 (137.0906829834): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
117 (360.01205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
118 (262.97569274902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
119 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
120 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
121 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
122 (452.04162597656): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
123 (!!!!! 41254.997253418): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7
124 (790.11917114258): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752913 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752913 AND type='deeppockets_item' AND published='1' LIMIT 1
125 (!!!!! 12995.958328247): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
126 (!!!!! 7112.979888916): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
127 (270.84350585938): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
128 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
129 (147.10426330566): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
130 (32.901763916016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
131 (118.97087097168): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
132 (32.901763916016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
133 (118.01719665527): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
134 (31.948089599609): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
135 (397.2053527832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
136 (309.94415283203): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
137 (180.00602722168): SELECT name FROM jos_deeppockets WHERE id=212
138 (52.928924560547): SELECT name FROM jos_deeppockets WHERE id=212
139 (896.93069458008): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
140 (530.00450134277): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
141 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
142 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
143 (!!!!! 20791.053771973): TRUNCATE TABLE jos_trademed_module
144 (!!!!! 2876.0433197021): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294752913 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
145 (238.89541625977): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294752913 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
146 (!!!!! 5741.1193847656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
147 (264.16778564453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
148 (!!!!! 3371.000289917): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
149 (200.98686218262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
150 (!!!!! 1596.9276428223): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6
151 (!!!!! 4580.020904541): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
152 (254.86946105957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
153 (149.01161193848): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752913 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752913 AND type='deeppockets_item' AND published='1' LIMIT 1
154 (46.968460083008): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)
155 (36.954879760742): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)
156 (67.949295043945): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
157 (!!!!! 1199.0070343018): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
158 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752913 AND published='1' LIMIT 1
159 (156.87942504883): select jos_twitters.link from jos_twitters where cat=10
160 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10
161 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10
162 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10
163 (339.98489379883): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)
164 (!!!!! 3626.823425293): insert into jos_banners_delta values (14615,'2025-06-24 02:03:44','216.73.216.120','view'),(14202,'2025-06-24 02:03:44','216.73.216.120','view'),(14203,'2025-06-24 02:03:44','216.73.216.120','view')