Temporal lobe surgery around the world. Results, complications, and mortality.
This survey covers 2,282 published temporal lobe resections, performed from 1928-1973, all over the world, as treatment of invalidating, drug-resistant epilepsy. At follow-up, two-thirds of the patients were free or almost free from seizures; and over half of those patients who were mentally abnormal before the operation were normalized or had obtained a marked improvement. The operative mortality has always been very low. No operative mortality has been recorded within the last decade. The risk of severe complications such as persistent hemiparesis and/or a complete homonymous hemianopia has decreased markedly, and is now only a few per cent.
Jensen
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University Clinic of Neurosurgery, Rigshospitalet, Copenhagen, Denmark.
D038481:Anterior Temporal Lobectomy; D002423:Cause of Death; D003431:Cross-Cultural Comparison; D004833:Epilepsy, Temporal Lobe / Q000401:mortality / Q000601:surgery*; D005500:Follow-Up Studies; D006423:Hemianopsia / Q000175:diagnosis / Q000401:mortality; D006801:Humans; D010291:Paresis / Q000175:diagnosis / Q000401:mortality; D011183:Postoperative Complications / Q000175:diagnosis* / Q000401:mortality; D012306:Risk; D015996:Survival Rate; D016896:Treatment Outcome