[Analysis of postoperative seizure recurrence after 65 temporal lobe partial resections].
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.
Schulz
R
R
Epilepsiezentrum Bethel, Mara gGmbH, Bielefeld.
Ebner
A
A
Schüller
M
M
Pannek
H
H
Holthausen
H
H
Tuxhorn
I
I
Noachtar
S
S
Hoppe
M
M
Oppel
F
F
Wolf
P
P
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