Predictive factors of callosotomy in drug-resistant epileptic patients with a long follow-up.
Some possible factors to predict outcome after callosotomy were investigated in a personal series composed of 36 patients. Twenty-seven of them were submitted to anterior callosotomy, 1 to posterior callosotomy and the remaining 8 patients to two stage complete division of corpus callosum. All factors, either positive or negative, do not appear completely reliable; they can be envisaged only in relative terms and do not seem to be relevant to make surgical decision or to discard surgery. In author's series, dealing specifically with drop-attacks, it clearly appeared that abrupt falls to the ground unpreceded by other epileptic features did definitely better. This was the only statistically significant datum.
Papo
I
I
Neurosurgical Division, Regional Hospital, Ancona, Italy.
Quattrini
A
A
Ortenzi
A
A
Paggi
A
A
Rychlicki
F
F
Provinciali
L
L
Del Pesce
M
M
Cesarano
C
C
Fioravanti
P
P
D000293:Adolescent; D000328:Adult; D003337:Corpus Callosum / Q000601:surgery*; D004351:Drug Resistance; D004827:Epilepsy / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013997:Time Factors