Temporal-lobe seizures with additional foci treated by resection.

Journal of Neurosurgery
J M Van BurenN Mutsuga

Abstract

The authors describe the use of temporal lobectomy following careful and repeated electroencephalogram (EEG) evaluation (with implanted electrodes in otherwise unresolvable cases) in the epileptic group characterized by automatisms (psychomotor seizures) with temporal epileptiform activity complicated by EEG foci in the opposite temporal lobe or by extratemporal activity. They found that this can render a significant number of patients (between 25% and 50%) either seizure-free or with significant and useful reduction in their seizure frequency. The cure and improvement rates of cases followed up after temporal resection with or without prior study with implanted electrodes were approximately equal. However, the implanted electrodes permitted surgical treatment of certain cases which would have been rejected on the basis of evidence derived from the scalp recordings alone. Of 28 of these 34 patients with persisting EEG epileptiform activity in the postoperative period, only one had such activity in a different location in a follow-up period of 6 years. No evidence of spreading epileptic activity or appearance of "mirror foci" was seen during a follow-up period averaging 8.2 years. Seizure remission up to 15 years with eventual r...Continue Reading

References

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Citations

Jan 1, 1981·Neurosurgical Review·L StepieńJ Wisławski
Nov 1, 1990·Electroencephalography and Clinical Neurophysiology·M D PriviteraH S Yeh
Jul 1, 1991·Epilepsia·C N ChangE Lettich
Apr 17, 1976·British Medical Journal
Jul 1, 1996·Surgical Neurology·B E SwartzA V Delgado-Escueta
Jan 1, 1995·Magnetic Resonance Imaging·M R TrenerryK J Meador
Jan 1, 1991·Progress in Neurobiology·E W LothmanJ L Stringer
Nov 1, 1976·The Journal of Pediatrics·W E DodsonP R Dodge
Oct 25, 2008·Seizure : the Journal of the British Epilepsy Association·Georges A GhacibehStephan Eisenschenk
Aug 22, 2000·Brain and Language·S C BhatnagarO J Andy
Feb 20, 1999·Journal of Child Neurology·K KhajaviJ F Hahn
Jan 1, 1987·Epilepsia·S Goldring
Nov 1, 1995·Neurosurgery·R LeblancA Ptito
Nov 1, 1992·Journal of Neurology, Neurosurgery, and Psychiatry·H LoiseauP Loiseau

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