Document Detail


Psychosocial outcome after extratemporal epilepsy surgery: a prospective clinical study.
MedLine Citation:
PMID:  18597225     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The purpose of this prospective clinical study was to examine the short- and long-term psychosocial outcomes of a consecutive series of patients who underwent extratemporal lobe resection due to medically-refractory epilepsy. MATERIALS AND METHODS: The sample consisted of 23 consecutive patients and all patients completed a questionnaire assessing especially psychosocial outcome 6 months and 2 years after surgery. Results obtained at short- and long-term follow-ups were compared to baseline. Furthermore, the impact of seizure freedom on the psychosocial outcome was sought. RESULTS: The results suggested that, psychosocial outcome was improved after surgery compared to preoperative status regardless of seizure status. At long-term follow-up, significant improvements were found in social and psychological variables (p < 0.05). Levels of side effects from medication were high at long-term compared to baseline (p = 0.003). Seizure free patients showed better psychosocial outcome than those who had seizure during the postoperative period, however; only the "impact of epilepsy" scale showed significant improvement at 6 months after surgery (p = 0.02). CONCLUSION: These results provide evidence that surgery caused appreciable improvements in psychosocial well-being, however; seizure freedom is not key to improving the psychosocial life of patients who have undergone extratemporal lobe epilepsy surgery.
Authors:
Taner Tanriverdi; Nicole Poulin; Andre Olivier
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Turkish neurosurgery     Volume:  18     ISSN:  1019-5149     ISO Abbreviation:  Turk Neurosurg     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-07-03     Completed Date:  2008-11-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9423821     Medline TA:  Turk Neurosurg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  114-24     Citation Subset:  IM    
Affiliation:
Montreal Neurological Institute, Neurosurgery, Montreal/Quebec, Canada. tanerato2000@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anticonvulsants / administration & dosage,  adverse effects
Combined Modality Therapy
Employment
Epilepsy / drug therapy,  psychology*,  surgery*
Female
Follow-Up Studies
Humans
Male
Prospective Studies
Psychology
Quality of Life*
Questionnaires
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anticonvulsants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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