A 13-year experience with epilepsy surgery.

Abstract:

:Between 1985 and 1997, 563 therapeutic craniotomies were performed: 311 anterior temporal (ATL) and 158 extramesial temporal (XMT) resections, 67 callosotomies, 20 hemispherectomies and 7 multiple subpial transections. Sixty-seven percent of nonlesional ATL cases were seizure free (SF), and 76% of nonlesional ATL cases < or =18 years old were SF. Seventy-eight percent of lesional ATL cases with complete resection were SF. Seventy-three percent of lesional cases < or =18 were SF. Thirty-seven percent of nonlesional XMT cases were SF. Seventy percent of XMT lesional cases with complete resection were SF, and 82% of lesional XMT cases < or =18 were SF. Of the anterior callosotomy cases, there was a > or =90% decrease in generalized tonic-clonic seizures in 50% of patients, and in tonic seizures, drop attacks, absence and myoclonic seizures in approximately 60-70% of patients. Of 20 hemispherectomies, 65% were SF. Of 7 multiple subpial transections, 29% were SF.

authors

Smith JR,Lee MR,Jenkins PD,King DW,Murro AM,Park YD,Lee GP,Meador KJ,Loring DW

doi

10.1159/000029763

keywords:

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

98-103

issue

1-4

eissn

1011-6125

issn

1423-0372

pii

sfn73098

journal_volume

73

pub_type

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