An outcome analysis of seventeen patients treated surgically for intractable extratemporal epilepsy

Ir Med J. 2010 Jul-Aug;103(7):211-3.

Abstract

We studied the outcomes of seventeen patients treated surgically for extratemporal lobe epilepsy. A retrospective case review of medical charts was performed. Seizure freedom post surgery was appraised using the Engel classification system. Post-operatively seven patients (41%) were seizure free (Engel class I), four patients were class II (23.5%), two in class III (11.76%) and four in class IV (23.5%). Three patients (17.6%) suffered traumatic injuries due to seizures. The mean duration of epilepsy prior to surgery was 12.2 years and the mean number of anti-epileptic medications given was 6.5. Seizure freedom rates for surgical treatment of extratemporal epilepsy in this centre are similar to those of other centres. Post-operative morbidity in this centre was similar to other centres. Any complications resolved with no lasting impairment.

MeSH terms

  • Adolescent
  • Adult
  • Anticonvulsants / therapeutic use
  • Child
  • Child, Preschool
  • Epilepsies, Partial / drug therapy
  • Epilepsies, Partial / surgery*
  • Female
  • Humans
  • Male
  • Neurosurgical Procedures
  • Retrospective Studies
  • Treatment Failure
  • Young Adult

Substances

  • Anticonvulsants