What Happens During a Temporal Lobe Resection?
A temporal lobe resection requires exposing an area of the brain using a procedure called a craniotomy. (“Crani” refers to the skull and “otomy” means “to cut into.”) After the patient is put to sleep with anesthesia, the surgeon makes an incision (cut) in the scalp, removes a piece of bone and pulls back a section of the dura, the tough membrane that covers the brain. This creates a “window” in which the surgeon inserts special instruments for removing the brain tissue. Surgical microscopes also are used to give the surgeon a magnified view of the area of the brain involved. The surgeon utilizes information gathered during the pre-operative evaluation — as well as during surgery — to define, or map out, the route to the correct area of the temporal lobe. In some cases, a portion of the surgery is performed while the patient is awake, using medication to keep the person relaxed and pain-free. This is done so that the patient can help the surgeon find and avoid areas of the brain resp