Epilepsy surgery without invasive EEG: early results of a new program

Arquivos de Neuro-Psiquiatria

Paulo R. M. De Bittencourt¹  João C. Araújo¹  Paulo J. M. Leite¹  Marlus S. Moro¹  Edson R. Piana¹  Marcos C. Sandmann¹ 

[1] ,Hospital Nossa Senhora da Graças Program of Epilepsy Surgery Curitiba

关键词: epilepsy;    epilepsy surgery;    epilepsia;    cirurgia de epilepsia;   

DOI  :  10.1590/S0004-282X1997000400004

来源: SciELO

【 摘 要 】

A total of 42 patients were submitted to a clinical, behavioural and neuropsychological evaluation with the objective of eventual surgical treatment of epilepsy refractory to the usual clinical therapies. Prolonged video-EEG monitoring, MRI hippocampal volume measurement, lateralization of speech and memory using the amobarbital (Wada) test were used. Of 18 operated cases, 12 were submitted to temporal lobectomy, with a follow-up of 6-30 months; 8 patients had significant improvement in seizures control; 2 patients had partial improvement in seizure frequency and intensity; 2 patients had no improvement in seizure control. One patient underwent right frontal lobectomy with total remission of seizures and 5 had callosotomy with varying degrees of success. There was no mortality. Morbidity included one subdural hematoma, one transient hemiparesis, one episode of mania, one lobar pneumonia and frequent immediately post-operative muscular tension headaches. These early results indicate good results of temporal lobectomy patients investigated through a non-invasive presurgical evaluation.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License