title: Psychosocial status before and after temporal lobe epilepsy surgery: a prospective clinical study.
abstract: OBJECTIVE
  The purpose of this prospective work was to evaluate the relationship between seizure outcome and psychosocial status in patients who underwent temporal lobe epilepsy surgery for medically intractable seizure.
  
  
  METHODS
  The Liverpool Psychosocial Battery, which includes physical, social, and psychological domains, was completed by 63 patients with temporal lobe epilepsy before surgery, as well as 6 months and 2 years after surgery. The differences regarding the Liverpool Psychosocial Battery domains were compared between seizure-free and nonseizure-free patients at 6 months and 2 years after surgery. Serial follow-up results were also compared with the baseline.
  
  
  RESULTS
  On all measures, patients showed significantly better scores after surgery compared with the baseline (P < 0.05). Although seizure-free patients showed improved "psychosocial" outcome over those who continued to have seizures, the differences did not reach a significant level on social and psychological domains.
  
  
  CONCLUSIONS
  Surgery has significantly positive effects on psychosocial outcome in patients with temporal lobe epilepsy. However, positive psychosocial changes are not limited to those patients who became seizure free after surgery.
authors.affiliation: Department of Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada. tanerato2000@yahoo.com
authors.forename: Taner
authors.initials: T
authors.lastname: Tanriverdi
authors.forename: Nicole
authors.initials: N
authors.lastname: Poulin
authors.forename: Andre
authors.initials: A
authors.lastname: Olivier
mesh_terms: D000328:Adult; D000927:Anticonvulsants / Q000009:adverse effects; D004833:Epilepsy, Temporal Lobe / Q000188:drug therapy / Q000523:psychology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests; D019635:Neurosurgical Procedures / Q000523:psychology*; D011584:Psychology; D016896:Treatment Outcome
chemical_list: D000927:Anticonvulsants