Anterior temporal lobectomy for complex partial seizures: evaluation, results, and long-term follow-up in 100 cases.

Journal Article (Journal Article)

We report evaluation and results in 100 patients who had undergone anterior temporal lobectomy for intractable complex partial seizures. Average follow-up was 9.0 years (range, 2 to 21 years). In the 2nd postoperative year, 63% were seizure free, 16% were significantly improved, and 21% were considered not significantly improved. Mean number of seizures in the last group was 27% of preoperative levels. Surgical results did not change significantly in subsequent postoperative years; good outcomes tended to persist over the longer term. We also examined the utility of continuous depth electrode monitoring in the evaluation of patients with independent bitemporal interictal epileptiform activity. Despite limited numbers of subjects in this category, there was a trend toward improved surgical outcome when such subjects were evaluated with depth electrodes.

Full Text

Duke Authors

Cited Authors

  • Walczak, TS; Radtke, RA; McNamara, JO; Lewis, DV; Luther, JS; Thompson, E; Wilson, WP; Friedman, AH; Nashold, BS

Published Date

  • March 1990

Published In

Volume / Issue

  • 40 / 3 Pt 1

Start / End Page

  • 413 - 418

PubMed ID

  • 2314581

Pubmed Central ID

  • 2314581

International Standard Serial Number (ISSN)

  • 0028-3878

Digital Object Identifier (DOI)

  • 10.1212/wnl.40.3_part_1.413


  • eng

Conference Location

  • United States