PMID- 27861328 OWN - NLM STAT- MEDLINE DCOM- 20171020 LR - 20190318 IS - 1524-4040 (Electronic) IS - 0148-396X (Linking) VI - 79 Suppl 1 DP - 2016 Dec TI - Laser Interstitial Thermal Therapy for Mesial Temporal Lobe Epilepsy. PG - S83-S91 AB - Approximately one-third of patients with epilepsy do not achieve adequate seizure control through medical management alone. Mesial temporal lobe epilepsy (MTLE) is one of the most common forms of medically refractory epilepsy referred for surgical management. Stereotactic laser amygdalohippocampotomy using magnetic resonance-guided laser interstitial thermal therapy (MRg-LITT) is an important emerging therapy for MTLE. Initial published reports support MRg-LITT as a less invasive surgical option with a shorter hospital stay and fewer neurocognitive side effects compared with craniotomy for anterior temporal lobectomy with amygdalohippocampectomy and selective amygdalohippocampectomy. We provide a historical overview of laser interstitial thermal therapy development and the technological advancements that led to the currently available commercial systems. Current applications of MRg-LITT for MTLE, reported outcomes, and technical issues of the surgical procedure are reviewed. Although initial reports indicate that stereotactic laser amygdalohippocampotomy may be a safe and effective therapy for medically refractory MTLE, further research is required to establish its long-term effectiveness and its cost/benefit profile. ABBREVIATIONS: ATLAH, anterior temporal lobectomy with amygdalohippocampectomyLITT, laser interstitial thermal therapyMRg-LITT, magnetic resonance-guided laser interstitial thermal therapyMTLE, mesial temporal lobe epilepsySAH, selective amygdalohippocampectomySLAH, stereotactic laser amygdalohippocampotomy. FAU - Wicks, Robert T AU - Wicks RT AD - *Department of Neurological Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina; double daggerDepartment of Neurosurgery, University of Miami, Miami, Florida; section signDepartment of Neurosurgery, Emory University, Atlanta, Georgia. FAU - Jermakowicz, Walter J AU - Jermakowicz WJ FAU - Jagid, Jonathan R AU - Jagid JR FAU - Couture, Daniel E AU - Couture DE FAU - Willie, Jon T AU - Willie JT FAU - Laxton, Adrian W AU - Laxton AW FAU - Gross, Robert E AU - Gross RE LA - eng PT - Historical Article PT - Journal Article PT - Review PL - United States TA - Neurosurgery JT - Neurosurgery JID - 7802914 SB - IM MH - Amygdala/surgery MH - Epilepsy, Temporal Lobe/*surgery MH - History, 20th Century MH - History, 21st Century MH - Humans MH - Hyperthermia, Induced/methods MH - Laser Therapy/history/*methods MH - Magnetic Resonance Imaging, Interventional MH - Neurosurgical Procedures/*methods MH - Stereotaxic Techniques MH - Temporal Lobe/*surgery EDAT- 2016/11/20 06:00 MHDA- 2017/10/21 06:00 CRDT- 2016/11/19 06:00 PHST- 2016/11/19 06:00 [entrez] PHST- 2016/11/20 06:00 [pubmed] PHST- 2017/10/21 06:00 [medline] AID - 00006123-201612001-00010 [pii] AID - 10.1227/NEU.0000000000001439 [doi] PST - ppublish SO - Neurosurgery. 2016 Dec;79 Suppl 1:S83-S91. doi: 10.1227/NEU.0000000000001439.