| Surgical outcome of patients with mesial temporal lobe epilepsy related to hippocampal sclerosis. | |
| | |
MedLine Citation:
|
PMID: 18205819 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Seizure outcome in mesial temporal lobe epilepsy related to hippocampal sclerosis (MTLE-HS) that was evaluated according to a noninvasive protocol was assessed in 165 patients and reported using both Engel's and ILAE classifications. The mean postoperative follow-up was 5.0 +/- 2.7 years. At the end of first year, 77.1% of patients were in Engel-I, and 52.7% were in ILAE-I. Antiepileptic drugs (AEDs) were discontinued in 41 patients (42.7%), all remained seizure-free for >or= 2 years that could be accepted as "cure." Thirty-six patients had recurrences, 19 had running-down phenomena. Anterior temporal lobectomy (ATL) was performed in 27 patients with a better outcome when compared to patients operated by selective anterior hippocampectomy. Clinical risk factors for better and worse outcome, which show some similarity in different reports, seem to veil the main reason, which is the accurate delineation of epileptogenic zone considering the presence of different subgroups and underlying developmental pathologies. |
| | |
Authors:
|
Ciğdem Ozkara; Mustafa Uzan; Gülçin Benbir; Naz Yeni; Büge Oz; Lütfü Hanoğlu; Naci Karaağac; Emin Ozyurt |
Related Documents
:
|
21389729 - Clinical core symptoms of posterior spinal artery ischemia. 16143569 - Epilepsy surgery in professional musicians: subjective and objective reports of three c... 14757329 - Superior temporal gyrus and p300 in schizophrenia: a combined erp/structural magnetic r... 18316209 - Adult-onset epilepsy associated with dysembryoplastic neuroepithelial tumors. 9578029 - Selective amobarbital test for the determination of language function in patients with ... 9014589 - Von willebrand factor in the outcome of temporal arteritis. 17946679 - Continuous measurement of calf resistivity in hemodialysis patients using bioimpedance ... 17579839 - Knee-laxity measurements examined by a left-hand- and a right-hand-dominant physiothera... 2219469 - Immunotherapy with mycobacterium vaccae as an adjunct to chemotherapy in the treatment ... |
Publication Detail:
|
Type: Comparative Study; Journal Article Date: 2008-01-18 |
Journal Detail:
|
Title: Epilepsia Volume: 49 ISSN: 0013-9580 ISO Abbreviation: Epilepsia Publication Date: 2008 Apr |
Date Detail:
|
Created Date: 2008-03-27 Completed Date: 2008-05-22 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 2983306R Medline TA: Epilepsia Country: United States |
Other Details:
|
Languages: eng Pagination: 696-9 Citation Subset: IM |
Affiliation:
|
Department of Neurology, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey. cigdemoz@istanbul.edu.tr |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Age Factors Anterior Temporal Lobectomy Child Disease-Free Survival Epilepsy, Temporal Lobe / classification, pathology*, surgery* Female Follow-Up Studies Hippocampus / pathology*, surgery Humans Male Middle Aged Outcome Assessment (Health Care) Prognosis Recurrence Risk Factors Sclerosis / pathology Temporal Lobe / pathology, surgery Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Norepinephrine modulates human dendritic cell activation by altering cytokine release.
Next Document: Public knowledge and attitudes toward epilepsy in Kuwait.