[Surgical treatment of temporal lobe epilepsy: a series of forty-three cases analysis].
Forty-three patients with epilepsy resistant to drug therapy were submitted to temporal lobe epilepsy surgery at the Instituto de Neurologia de Curitiba, from 1998 to 2003. Thirty-nine patients (90.6%) had mesial temporal sclerosis, and four had brain tumors. According to Engel's rating, 83.7% from 37 patients with complete postoperative evaluation were classified as Class I (free of disabling seizure). Postoperative complications (18.6%) were evaluated, with one case of surgical wound infection, one case of hydrocephalus, one case of cerebrospinal fluid fistula, two cases of transient palsy of the trochlear nerve and one case of transient hemiparesis. No death related to epilepsy surgery was found in our study.
Meneses
Murilo S
MS
Instituto de Neurologia de Curitiba, Universidade Federal do Paraná, Curitiba, PR, Brazil. meneses@inc-neuro.com.br
Rocha
Samanta B
SB
Kowacs
Pedro A
PA
Andrade
Nelson O
NO
Santos
Heraldo L
HL
Narata
Ana Paula
AP
Bacchi
Ana Paula
AP
Silva
Erasmo B
EB
Simão
Cristiane
C
Hunhevicz
Sonival C
SC
D000328:Adult; D001932:Brain Neoplasms / Q000150:complications* / Q000601:surgery; D003399:Craniotomy / Q000379:methods*; D004569:Electroencephalography; D004833:Epilepsy, Temporal Lobe / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D012189:Retrospective Studies; D012598:Sclerosis / Q000150:complications / Q000601:surgery; D013702:Temporal Lobe / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome