title: [Analysis of postoperative seizure recurrence after 65 temporal lobe partial resections].
abstract: Sixty-five patients (aged between 3 years 5 months and 60 years) suffering from medically resistant temporal lobe epilepsy (TLE) were operated on over a period of 33 months in Bethel Epilepsy Center. Thirty-three patients had mesial TLE and 32 patients had TLE of different etiology. The postoperative follow-up lasted 2 years in 30 patients and was on average 13.2 months or at least 8 months in the 35 patients who did not have their last examination 2 years after surgery. Many of the patients (70.9%) were seizure-free; 92.3% achieved a rewarding improvement in seizure frequency and quality of life. Reduction of medication was the cause for relapse in 10 patients, in 6 patients incomplete resection, and in 5 patients the prognosis was not good even before surgery. The cause remained unclear in 4 patients. Freedom from seizures was achieved again by renewed medication or by repeated operation in 10 of 25 patients.
authors.affiliation: Epilepsiezentrum Bethel, Mara gGmbH, Bielefeld.
authors.forename: R
authors.initials: R
authors.lastname: Schulz
authors.forename: A
authors.initials: A
authors.lastname: Ebner
authors.forename: M
authors.initials: M
authors.lastname: Schüller
authors.forename: H
authors.initials: H
authors.lastname: Pannek
authors.forename: H
authors.initials: H
authors.lastname: Holthausen
authors.forename: I
authors.initials: I
authors.lastname: Tuxhorn
authors.forename: S
authors.initials: S
authors.lastname: Noachtar
authors.forename: M
authors.initials: M
authors.lastname: Hoppe
authors.forename: F
authors.initials: F
authors.lastname: Oppel
authors.forename: P
authors.initials: P
authors.lastname: Wolf
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004833:Epilepsy, Temporal Lobe / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D011379:Prognosis; D011612:Psychosurgery; D011788:Quality of Life; D012008:Recurrence; D013702:Temporal Lobe / Q000601:surgery*; D016896:Treatment Outcome