Predictive factors for a good prognosis following surgery for temporal lobe epilepsy: a cohort study in Spain

Autor: Iñigo Garamendi-Ruiz, Beatriz Mateos Goñi, María Isabel Forcadas-Berdusán, Ana Molano Salazar, Elena Valle-Quevedo, Lorea Martinez-Indart, Jon Aurrecoechea Obieta, José Luis Bustos-Sánchez, Juan Carlos Gómez-Esteban
Rok vydání: 2011
Předmět:
Zdroj: Epileptic Disorders. 13:36-46
ISSN: 1950-6945
1294-9361
DOI: 10.1684/epd.2011.0413
Popis: To investigate the outcome of temporal lobe epilepsy surgery and identify the variables which predict a good prognosis with respect to seizures in postoperative follow-up after two and four years. This retrospective study included 115 selected patients who underwent surgery for temporal lobe epilepsy between 1996 and 2007. In the second year after surgery 86.1% of patients had a good prognosis for seizure control (73.9% Engel class I and 12.2% Engel class II) and 89.2% (76.3% Engel class I and 12.9% Engel class II) in the fourth year. Sixty-four of 93 (68.8%) patients were free of disabling seizures (Engel class I) during the entire period and 78 (83.8%) had good prognosis (Engel class I and II). For the second year, logistic regression analysis revealed the following variables to be independently predictive of good seizure control: absence of two or more seizure episodes in the first year after surgery, normal postoperative video-EEG, and age at surgery of less than 35 years. In the fourth year, mesial temporal sclerosis, female sex and normal postoperative video-EEG were the predictive factors. For the group with a good prognosis in both the second and the fourth year, the predictive variables were: absence of two or more seizure episodes in the first year after surgery (OR: 13.762, CI 95%: 2.566-73.808, p
Databáze: OpenAIRE
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