Outcome of intracranial electroencephalography monitoring and surgery in magnetic resonance imaging-negative temporal lobe epilepsy.

Abstract:

:We evaluated the outcomes of intracranial electroencephalography (iEEG) recording and subsequent resective surgery in patients with magnetic resonance imaging (MRI)-negative temporal lobe epilepsy (TLE). Thirty-two patients were identified from the Mayo Clinic Epilepsy Surgery Database (Arizona, Florida, and Minnesota). Eight (25.0%) had chronic iEEG monitoring that recorded neocortical temporal seizure onsets; 12 (37.5%) had mesial temporal seizure onsets; 5 (15.6%) had independent neocortical and mesial temporal seizure onsets; and 7 (21.9%) had simultaneous neocortical and mesial seizure onsets. Neocortical temporal lobe seizure semiology was the only factor significantly associated with neocortical temporal seizure onsets on iEEG. Only 33.3% of patients who underwent lateral temporal neocorticectomy had an Engel class 1 outcome, whereas 76.5% of patients with iEEG-guided anterior temporal lobectomy that included the amygdala and the hippocampus had an Engel class 1 outcome. Limitations in cohort size precluded statistical analysis of neuropsychological test data.

journal_name

Epilepsy Res

journal_title

Epilepsy research

authors

Lee RW,Hoogs MM,Burkholder DB,Trenerry MR,Drazkowski JF,Shih JJ,Doll KE,Tatum WO 4th,Cascino GD,Marsh WR,Wirrell EC,Worrell GA,So EL

doi

10.1016/j.eplepsyres.2014.03.013

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

937-44

issue

5

eissn

0920-1211

issn

1872-6844

pii

S0920-1211(14)00087-4

journal_volume

108

pub_type

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