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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Outcome of frontal lobe epilepsy surgery in adults
Epilepsy Research, Volume 81, No. 2-3, Year 2008
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Description
Our aim is to investigate seizure outcome and prognostic factors after pure frontal lobe epilepsy (FLE) surgery. We retrospectively studied the operative outcome in 97 consecutive adult patients who underwent resective surgery for intractable partial epilepsy between 1991 and 2005. Based on Kaplan-Meier, the probability of an Engel Class I outcome was found to be 54.6% (95% CI 44-64) at 6 months, 49.5% (95% CI 39.3-59.6) at 2 years, 47% (CI 34-59) at 5 years and 41.9% (CI 23.5-60.3) at 10 years. If the patient was seizure free at 2-year follow-up, the probability of remaining seizure free up to 10 years was 86% (95% CI 76-98). For 13.6% of the patients a running down of seizures could be shown. Factors predictive of poor long-term outcome were incomplete resection, using of subdural grids, IED in follow-up EEG, tonic seizures and an unspecific aura or a postoperative aura. Factors predictive of good long-term outcome were the presence of a well-circumscribed lesion in preoperative MRI, ipsilateral IED in preoperative EEG, surgery before age of 30 and short epilepsy duration prior to surgery. In the multivariate analysis, preoperative well-circumscribed lesion in MRI predicts seizure remission whereas persistent postoperative auras predict seizure relapse. FLE surgery should depend on restrictive patient selection to assure favorable outcome. © 2008 Elsevier B.V. All rights reserved.
Authors & Co-Authors
Elsharkawy, Alaa Eldin
Germany, Bielefeld
Epilepsiezentrum Bethel
Egypt, Cairo
Faculty of Medicine
Alabbasi, Abdel Hamid
Egypt, Giza
Cairo University
Pannek, Heinz
Germany, Bielefeld
Epilepsiezentrum Bethel
Schulz, Reinhard
Germany, Bielefeld
Epilepsiezentrum Bethel
Hoppe, Mathias
Germany, Bielefeld
Epilepsiezentrum Bethel
Pahs, Gerald
Germany, Bielefeld
Epilepsiezentrum Bethel
Nayel, Mohamed
Egypt, Cairo
Faculty of Medicine
Issa, Ahmed
Egypt, Cairo
Faculty of Medicine
Ebner, Alois
Germany, Bielefeld
Epilepsiezentrum Bethel
Statistics
Citations: 76
Authors: 9
Affiliations: 3
Identifiers
Doi:
10.1016/j.eplepsyres.2008.04.017
ISSN:
09201211
Research Areas
Health System And Policy
Study Design
Cohort Study