Temporal lobe resection for refractory temporal lobe epilepsy at Auckland Hospital.
作者： Elizabeth B Walker , Edward Mee , Peter S Bergin , Ravi Suppiah , Gregory Finucane
DOI:
关键词:
摘要: AIMS: To analyse the long-term outcome of patients who underwent temporal lobe resection for intractable epilepsy at Auckland Hospital. METHODS: We performed a retrospective analysis 176 Hospital, New Zealand between 1987 and 2007. had least 1 year follow-up on 174 patients. RESULTS: Overall 98/174 (56%) individuals were seizure-free (Engel Class 1) with marked improvement in quality life. A further 61/174 (35%) rare seizures or significant seizure frequency Classes II III). At last follow up (mean 4.3 years) 95/174 (55%) 1). Hippocampal sclerosis was pathological finding 129 Surgical complications included 2 (1.1%) deaths, while 6 (3.4%) symptomatic visual field defects, 8 (4.5%) other permanent neurological problems. 18 (10.3%) temporary including infection, pulmonary embolus, aseptic meningitis. psychological symptoms occurred during first after surgery 52% 114 whom we detailed psychiatric assessments. CONCLUSION: Temporal is effective controlling medically seizures, but there are potentially serious that need to be considered when counselling such procedure.
参考文章(40)
Anne M McIntosh, Renate M Kalnins, L Anne Mitchell, Gavin CA Fabinyi, Regula S Briellmann, Samuel F Berkovic, Temporal lobectomy: long-term seizure outcome, late recurrence and risks for seizure recurrence Brain. ,vol. 127, pp. 2018- 2030 ,(2004) , 10.1093/BRAIN/AWH221
B. Guldvog, Y. Loyning, E. Hauglie-Hanssen, S. Flood, H. Bjornaes, Surgical Treatment for Partial Children and Epilepsy Among Norwegian Adolescents Epilepsia. ,vol. 35, pp. 554- 565 ,(1994) , 10.1111/J.1528-1157.1994.TB02475.X
Gershon C. Ney, William B. Barr, Carline Napolitano, Robert Decker, Neil Schaul, New-Onset Psychogenic Seizures After Surgery for Epilepsy JAMA Neurology. ,vol. 55, pp. 726- 730 ,(1998) , 10.1001/ARCHNEUR.55.5.726
Carmel Armon, Rodney A. Radtke, Allan H. Friedman, Deborah V. Dawson, Predictors of Outcome of Epilepsy Surgery: Multivariate Analysis with Validation Epilepsia. ,vol. 37, pp. 814- 821 ,(1996) , 10.1111/J.1528-1157.1996.TB00033.X
S.D. Shorvon, Epidemiology, classification, natural history, and genetics of epilepsy. The Lancet. ,vol. 336, pp. 93- 96 ,(1990) , 10.1016/0140-6736(90)91603-8
Samuel Wiebe, Randomized controlled trials of epilepsy surgery. Epilepsia. ,vol. 44, pp. 38- 43 ,(2003) , 10.1046/J.1528-1157.44.S7.9.X
Aaron A. Cohen-Gadol, Brian G. Wilhelmi, Frederic Collignon, J. Bradley White, Jeffrey W. Britton, Denise M. Cambier, Teresa J. H. Christianson, W. Richard Marsh, Fredric B. Meyer, Gregory D. Cascino, Long-term outcome of epilepsy surgery among 399 patients with nonlesional seizure foci including mesial temporal lobe sclerosis. Journal of Neurosurgery. ,vol. 104, pp. 513- 524 ,(2006) , 10.3171/JNS.2006.104.4.513
S. S. Spencer, A. T. Berg, B. G. Vickrey, M. R. Sperling, C. W. Bazil, S. Shinnar, J. T. Langfitt, T. S. Walczak, S. V. Pacia, , Predicting long-term seizure outcome after resective epilepsy surgery The Multicenter Study Neurology. ,vol. 65, pp. 912- 918 ,(2005) , 10.1212/01.WNL.0000176055.45774.71
Susan Spencer, Linda Huh, Outcomes of epilepsy surgery in adults and children The Lancet Neurology. ,vol. 7, pp. 525- 537 ,(2008) , 10.1016/S1474-4422(08)70109-1
Samuel Wiebe, Warren T. Blume, John P. Girvin, Michael Eliasziw, A randomized, controlled trial of surgery for temporal-lobe epilepsy. The New England Journal of Medicine. ,vol. 345, pp. 311- 318 ,(2001) , 10.1056/NEJM200108023450501