Abstract:
BACKGROUND:Occipital lobe epilepsy (OLE) is an uncommon but debilitating focal epilepsy syndrome with seizures often refractory to medical management. While surgical resection has proven a viable treatment, previous studies examining postoperative seizure freedom rates are limited by small sample size and patient heterogeneity, thus exhibiting significant variability in their results. OBJECTIVE:To review the medical literature on OLE so as to investigate rates and predictors of both seizure freedom and visual outcomes following surgery. METHODS:We reviewed manuscripts exploring surgical resection for drug-resistant OLE published between January 1990 and June 2015 on PubMed. Seizure freedom rates were analyzed and potential predictors were evaluated with separate meta-analyses. Postoperative visual outcomes were also examined. RESULTS:We identified 27 case series comprising 584 patients with greater than 1 yr of follow-up. Postoperative seizure freedom (Engel class I outcome) was observed in 65% of patients, and was significantly predicted by age less than 18 yr (odds ratio [OR] 1.54, 95% confidence interval [CI] 1.13-2.18), focal lesion on pathological analysis (OR 2.08, 95% CI 1.58-2.89), and abnormal preoperative magnetic resonance imaging (OR 3.24, 95% 2.03-6.55). Of these patients, 175 also had visual outcomes reported with 57% demonstrating some degree of visual decline following surgery. We did not find any relationship between postoperative visual and seizure outcomes. CONCLUSION:Surgical resection for OLE is associated with favorable outcomes with nearly two-thirds of patients achieving postoperative seizure freedom. However, patients must be counseled regarding the risk of visual decline following surgery.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Harward SC,Chen WC,Rolston JD,Haglund MM,Englot DJdoi
10.1093/neuros/nyx158subject
Has Abstractpub_date
2018-03-01 00:00:00pages
350-358issue
3eissn
0148-396Xissn
1524-4040pii
3610991journal_volume
82pub_type
杂志文章,meta分析相关文献
NEUROSURGERY文献大全abstract::There were 15 cases of multiple meningiomas in a consecutive series of 168 cases of meningioma studied by computed tomography during the last 5 years. This incidence of 8.9% is significantly higher than the 1 to 3% incidence reported previously. A brief clinical survey of the 15 cases and a description of the location...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198108000-00004
更新日期:1981-08-01 00:00:00
abstract::External ventricular drainage (EVD) was used before and after posterior fossa operations in 62 children and adolescents. In all cases, the removal of the tumor (midline in 47 and laternal in 15) was attempted; total removal was achieved in 41. The overall mortality was 6.5% (4 patients). Only 25% of the survivors need...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1982-01-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Intrinsic oculomotor nerve hematoma is an exceptional cause of third nerve palsy. This case report illustrates the clinical, radiological, and intraoperative relevance of this rare pathological finding. CLINICAL PRESENTATION:A 25-year-old woman with a 12-year history of gross total resection o...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.neu.0000166687.59462.42
更新日期:2005-08-01 00:00:00
abstract:BACKGROUND:With the decrease in the number of cerebral aneurysms treated surgically and the increase of complexity of those treated surgically, there is a need for simulation-based tools to teach future neurosurgeons the operative techniques of aneurysm clipping. OBJECTIVE:To develop and evaluate the usefulness of a n...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000583
更新日期:2015-03-01 00:00:00
abstract::Seventy-one patients with minor head injury were given extensive neuropsychological evaluations 3 months after injury. A significant percentage of the patients demonstrated cognitive impairment, which seemed essentially unrelated to the length of unconsciousness or of posttraumatic amnesia. Impaired patients evidenced...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198311000-00008
更新日期:1983-11-01 00:00:00
abstract::Clinical decision analysis is applied to the treatment decisions for four patients with unruptured familial aneurysms. The surgical treatment was uneventful in all patients except one with mild mixed aphasia and facial weakness postoperatively; these deficits disappeared in less than 2 years. In the decision analysis,...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198809000-00007
更新日期:1988-09-01 00:00:00
abstract::The authors report a rare sequelae of a skull fracture in an adult, a leptomeningeal cyst. A unique method for repairing this defect is described as well. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199001000-00025
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:Accurate placement of a probe to the deep regions of the brain is an important part of neurosurgery. In the modern era, magnetic resonance image (MRI)-based target planning with frame-based stereotaxis is the most common technique. OBJECTIVE:To quantify the inaccuracy in MRI-guided frame-based stereotaxis a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3182320bd6
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:Jugular foramen tumors are rare cranial base lesions that present diagnostic and management difficulties. With the availability of new diagnostic procedures these tumors have been more precisely studied and questions of whether, when, and how these lesions should be treated often arise. Data from 106 consecut...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000163483.44754.47
更新日期:2005-07-01 00:00:00
abstract::The authors present a case of acute aggravation of subdural effusion associated with pachymeningitis carcinomatosa. Microscopic examination of a surgical specimen revealed diffuse involvement of the dura mater by a metastatic adenocarcinoma in which the tumor cells invaded venules located in the areolar layer in parti...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199109000-00025
更新日期:1991-09-01 00:00:00
abstract:OBJECTIVE:The objective was to examine the microsurgical anatomy basic to the microsurgical and endovascular management of lesions involving the dural arteries. METHODS:Adult cadaveric heads and skulls were examined using the magnification provided by the surgical microscope to define the origin, course, and distribut...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000144823.94402.3d
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:Microsurgical resection of arteriovenous malformations (AVMs) located in the language and motor cortex is associated with the risk of neurological deterioration, yet electrocortical stimulation mapping has not been widely used. OBJECTIVE:To demonstrate the usefulness of intraoperative mapping with language/...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318207a9a7
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:Long-term remission rates from endoscopic transsphenoidal surgery for acromegaly and their relationship to prognostic indicators of disease aggressiveness are not well documented. OBJECTIVE:To investigate long-term remission rates in patients with acromegaly after endoscopic transsphenoidal surgery, and cor...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx020
更新日期:2017-08-01 00:00:00
abstract::Beijing, the capital of the People's Republic of China, is a city with a population of over 10 million. The incidence of head injuries is increasing yearly and the government pays much attention to this social and medical problem. This is evidenced in both county and big city hospitals by the organization of neurosurg...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198208000-00023
更新日期:1982-08-01 00:00:00
abstract:OBJECTIVE:To quantitate the relief of intractable cancer pain by the use of intraventricular morphine administration. METHODS:Intraventricular morphine administration was performed through an Ommaya reservoir. An initial dose of 0.25 mg of morphine sulfate per 24 hours was administered to all of the patients. This dos...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199607000-00012
更新日期:1996-07-01 00:00:00
abstract::Dorsal root entry zone lesions are effective in the control of intractable pain in several types of spinal cord injuries. Traditionally, these lesions have been made with the radiofrequency technique. This is effective, but has the drawback of being laborious, and there is a significant incidence of permanent weakness...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198503000-00008
更新日期:1985-03-01 00:00:00
abstract:OBJECTIVE:The angle of arteries at bifurcations, as well as the blood flow, are factors of hemodynamic stress on the apical region, where aneurysms often develop. Using images obtained with three-dimensional computed tomographic angiography, we sought to determine the angles between the A1 and A2 segments of the anteri...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00006123-199907000-00021
更新日期:1999-07-01 00:00:00
abstract::Somatosensory evoked potentials (SEPs) were recorded continuously during aortic occlusion in sheep, with simultaneous measurement of spinal cord blood flow (SCBF) by radiolabeled microspheres. Aortic occlusion was associated with disappearance of the SEPs in seven of nine sheep in 7.8 +/- 4.1 (SD) minutes. SCBF at the...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198711000-00012
更新日期:1987-11-01 00:00:00
abstract:OBJECTIVE:To study the application of navigated stereoscopic display of preoperative three-dimensional (3-D) magnetic resonance angiography and intraoperative 3-D ultrasound angiography in a clinical setting. METHODS:Preoperative magnetic resonance angiography and intraoperative ultrasound angiography are presented as...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000279232.43202.82
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:The endovascular treatment of carotid-cavernous dural fistulae is becoming the prominent treatment modality for these lesions. The intractability of these lesions and their tendency to recur, especially after previous endovascular treatment sessions, exhausts the available routes and tends to p...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199902000-00113
更新日期:1999-02-01 00:00:00
abstract::This is a brief report of 17 histologically verified choroid plexus papillomas (CPPs). The radiological evaluation and surgical treatment are outlined. The results indicate that the surgical approach was not optimal. Radiation therapy decreasing the vascularity of tissue-proven CPPs and therefore aiding the operative ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1980-04-01 00:00:00
abstract::Even though robotic technology holds great potential for performing spinal surgery and advancing neurosurgical techniques, it is of utmost importance to establish its practicality and to demonstrate better clinical outcomes compared with traditional techniques, especially in the current cost-effective era. Several sys...
journal_title:Neurosurgery
pub_type: 杂志文章,随机对照试验
doi:10.1227/NEU.0b013e318270d02c
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:Dural replacements are used in cranial surgery when primary closure of native dura is not possible. The goal is to recreate a watertight barrier to prevent cerebrospinal fluid leakage with few associated complications. We reviewed a single-institution experience with a variety of dural substitutes in posterio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000334414.79963.59
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:Of the 170 cases of teratomas in the spinal canal reported in the English literature, only 13 were spinal epidural teratomas (SETs). We present a case of SET, review the characteristics of SETs in comparison with spinal intradural teratomas (SITs), and investigate the pathogenesis of spinal te...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e3181f846ca
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Middle cerebral artery (MCA) aneurysms are often considered unsuitable for endovascular coiling because of unfavorable morphological features. With improvements in endovascular techniques, several series have detailed the results and complications of endovascular treatment of MCA aneurysms. OBJECTIVE:We per...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e318201d7f4
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Xanthogranulomas involving the central or peripheral nervous system are extraordinarily rare. None have been reported in the lower extremity. Here, we report and characterize the first case of xanthogranuloma of the sciatic nerve. CLINICAL PRESENTATION:A 58-year-old woman presented with poorly...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2004-12-01 00:00:00
abstract::Image guidance (IG) and robotics systems are becoming more widespread in their utilization and can be invaluable intraoperative adjuncts during spine surgery. Both are highly reliant upon stereotaxy and either pre- or intraoperative radiographic imaging. While user-operated IG systems have been commercially available ...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1093/neuros/nyy630
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Though the Pipeline Embolization Device (Medtronic) is approved for use in adults 22 yr and older, the high efficacy and long-term durability of the device is attractive for treatment of intracranial aneurysms in younger patients who often have aneurysms less amenable to traditional endovascular treatments. ...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1093/neuros/nyz380
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:The prevalence of intracranial aneurysms is approximately 2% with an annual rupture rate of 0.7%. OBJECTIVE:We describe our initial feasibility experience using a new double-lumen balloon catheter for single-catheter balloon-assisted coil embolization of wide-neck intracranial aneurysms. METHODS:Two patien...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3182181e3a
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:Classic surgical exposures of the infratemporal fossa region, including the adjacent intracranial space, temporal bone, and sinonasal region, require the extensive exposure associated with the transcranial, transfacial, and transmandibular approaches with their inherent neurological and cosmetic morbidities. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000359224.75185.43
更新日期:2010-01-01 00:00:00