Abstract
Between 1985 and 1997, 563 therapeutic craniotomies were performed: 311 anterior temporal (ATL) and 158 extramesial temporal (XMT) resections, 67 callosotomies, 20 hemispherectomies and 7 multiple subpial transections. Sixty-seven percent of nonlesional ATL cases were seizure free (SF), and 76% of nonlesional ATL cases ≤ 18 years old were SF. Seventy-eight percent of lesional ATL cases with complete resection were SF. Seventy-three percent of lesional cases ≤ 18 were SF. Thirty-seven percent of nonlesional XMT cases were SF. Seventy percent of XMT lesional cases with complete resection were SF, and 82% of lesional XMT cases ≤ 18 were SF. Of the anterior callosotomy cases, there was a ≥ 90% decrease in generalized tonic-clonic seizures in 50% of patients, and in tonic seizures, drop attacks, absence and myoclonic seizures in approximately 60-70% of patients. Of 20 hemispherectomies, 65% were SF. Of 7 multiple subpial transections, 29% were SF. Copyright (C) 2000 S. Karger AG, Basel.
Original language | English (US) |
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Pages (from-to) | 98-103 |
Number of pages | 6 |
Journal | Stereotactic and Functional Neurosurgery |
Volume | 73 |
Issue number | 1-4 |
DOIs | |
State | Published - May 2000 |
Keywords
- Ablative surgery
- Depth electrodes
- Disconnective surgery
- Drug-resistant focal epilepsy
- Subdural electrodes
ASJC Scopus subject areas
- Surgery
- Clinical Neurology