Relationship of number of seizures recorded on video-EEG to surgical outcome in refractory medial temporal lobe epilepsy

Arquivos de Neuro-Psiquiatria

Rup Kamal Sainju²  Bethany Jacobs Wolf¹  Leonardo Bonilha²  Gabriel Martz² 

[1] ,Medical University of South Carolina Department of Neurosciences Division of NeurologyCharleston SC ,USA

关键词: epilepsy;    temporal lobe;    epilepsy surgery;    electroencephalography;    epilepsia;    lobo temporal;    cirurgia de epilepsia;    eletroencefalografia;   

DOI  :  10.1590/S0004-282X2012000900009

来源: SciELO

【 摘 要 】

INTRODUCTION: Surgical planning for refractory medial temporal lobe epilepsy (rMTLE) relies on seizure localization by ictal electroencephalography (EEG). Multiple factors impact the number of seizures recorded. We evaluated whether seizure freedom correlated to the number of seizures recorded, and the related factors. METHODS: We collected data for 32 patients with rMTLE who underwent anterior temporal lobectomy. Primary analysis evaluated number of seizures captured as a predictor of surgical outcome. Subsequent analyses explored factors that may seizure number. RESULTS: Number of seizures recorded did not predict seizure freedom. More seizures were recorded with more days of seizure occurrence (p<0.001), seizure clusters (p<0.011) and poorly localized seizures (PLSz) (p=0.004). Regression modeling showed a trend for subjects with fewer recorded poorly localized seizures to have better surgical outcome (p=0.052). CONCLUSIONS: Total number of recorded seizures does not predict surgical outcome. Patients with more PLSz may have worse outcome.

【 授权许可】

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