Epilepsia farmacorresistente del lóbulo temporal. Exploración con electrodos del foramen oval y resultados quirúrgicos
| Autor: | Jesús Pastor, L Domínguez-Gadea, Eduardo García-Navarrete, Rafael G. Sola, M T Alijarde, Fernando Maestú, Virgilio Hernando-Requejo, Jesús DeFelipe-Oroquieta, Alicia Sánchez, Javier DeFelipe, P Martín-Plasencia, S Ramón-Cajal, P Pulido-Rivas |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Retrospective cohort study Magnetic resonance imaging General Medicine Foramen ovale (skull) Electroencephalography medicine.disease Surgery Epilepsy medicine.anatomical_structure medicine Ictal Epilepsy surgery Neurology (clinical) Radiology Age of onset business |
| Zdroj: | Revista de Neurología. 41:4 |
| ISSN: | 0210-0010 |
| DOI: | 10.33588/rn.4101.2004550 |
| Popis: | Summary. Aim. To report our experience in the surgical treatment of temporal-lobe epilepsy. Patients and methods. An analysis was performed of the outcomes of 137 patients submitted to surgery between 1990 and 2001, with a follow-up of more than two years. A study was conducted of the percentages of successful detection by the different complementary tests – MRI, EEG, interictal SPECT, video-EEG with foramen ovale electrodes (FOE), neuropsychological study (NPS) – and the precision with which they reported the epileptogenic focus. Results and conclusions. Successful surgical outcomes (Engel grades I-II): 73.4%. No surgical mortality occurred, although some mild, reversible morbidity was observed. Surgical outcomes were not affected by sex, age, age of onset and the length of time the patient had had the disease, or the frequency of the seizures. No association was found between seizures in the immediate post-operative period and a poorer long term control of the epilepsy. MR images were normal in 25% of patients; in these cases the surgical outcomes (Engel grades I-II at two years: 62%) were significantly poorer than in cases of tumours/cavernomas (86%); RMI studies of other types of lesions gave intermediate results (72%). With respect to the capacity of the different tests to lateralise/locate the epileptogenic focus, video-EEG-FOE proved to be the best, followed by MRI, SPECT, EEG and NPS. [REV NEUROL 2005; 41: 4-16] |
| Databáze: | OpenAIRE |
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