Anterior temporal lobectomy for complex partial seizures: evaluation, results, and long-term follow-up in 100 cases.
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.
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DOI
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Related Subject Headings
- Temporal Lobe
- Prospective Studies
- Prognosis
- Postoperative Period
- Postoperative Complications
- Neurology & Neurosurgery
- Middle Aged
- Male
- Humans
- Follow-Up Studies
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Temporal Lobe
- Prospective Studies
- Prognosis
- Postoperative Period
- Postoperative Complications
- Neurology & Neurosurgery
- Middle Aged
- Male
- Humans
- Follow-Up Studies