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Specific consistency score for rational selection of epilepsy resection surgery candidates.
Tojima, Maya; Shimotake, Akihiro; Neshige, Shuichiro; Okada, Tadashi; Kobayashi, Katsuya; Usami, Kiyohide; Matsuhashi, Masao; Honda, Masayuki; Takeyama, Hirofumi; Hitomi, Takefumi; Yoshida, Takeshi; Yokoyama, Atsushi; Fushimi, Yasutaka; Ueno, Tsukasa; Yamao, Yukihiro; Kikuchi, Takayuki; Namiki, Takao; Arakawa, Yoshiki; Takahashi, Ryosuke; Ikeda, Akio.
Afiliación
  • Tojima M; Department of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Shimotake A; Department of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Neshige S; Department of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Okada T; Department of Clinical Neuroscience and Therapeutics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan.
  • Kobayashi K; Department of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Usami K; Department of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Matsuhashi M; Department of Epilepsy, Movement Disorders, and Physiology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Honda M; Department of Epilepsy, Movement Disorders, and Physiology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Takeyama H; Department of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Hitomi T; Department of Respiratory Care and Sleep Control Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Yoshida T; Department of Clinical Laboratory Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Yokoyama A; Department of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Fushimi Y; Department of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Ueno T; Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Yamao Y; Department of Psychiatry, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Kikuchi T; Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Namiki T; Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Arakawa Y; Department of Mathematics, Faculty of Science, Hokkaido University, Sapporo, Japan.
  • Takahashi R; Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Ikeda A; Department of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Epilepsia ; 65(5): 1322-1332, 2024 May.
Article en En | MEDLINE | ID: mdl-38470337
ABSTRACT

OBJECTIVE:

Degree of indication for epilepsy surgery is determined by taking multiple factors into account. This study aimed to investigate the usefulness of the Specific Consistency Score (SCS), a proposed score for focal epilepsy to rate the indication for epilepsy focal resection.

METHODS:

This retrospective cohort study included patients considered for resective epilepsy surgery in Kyoto University Hospital from 2011 to 2022. Plausible epileptic focus was tentatively defined. Cardinal findings were scored based on specificity and consistency with the estimated laterality and lobe. The total points represented SCS. The association between SCS and the following clinical parameters was assessed by univariate and multivariate

analysis:

(1) probability of undergoing resective epilepsy surgery, (2) good postoperative seizure outcome (Engel I and II or Engel I only), and (3) lobar concordance between the noninvasively estimated focus and intracranial electroencephalographic (EEG) recordings.

RESULTS:

A total of 131 patients were evaluated. Univariate analysis revealed higher SCS in the (1) epilepsy surgery group (8.4 [95% confidence interval (CI) = 7.8-8.9] vs. 4.9 [95% CI = 4.3-5.5] points; p < .001), (2) good postoperative seizure outcome group (Engel I and II; 8.7 [95% CI = 8.2-9.3] vs. 6.4 [95% CI = 4.5-8.3] points; p = .008), and (3) patients whose focus defined by intracranial EEG matched the noninvasively estimated focus (8.3 [95% CI = 7.3-9.2] vs. 5.4 [95% CI = 3.5-7.3] points; p = .004). Multivariate analysis revealed areas under the curve of .843, .825, and .881 for Parameters 1, 2, and 3, respectively.

SIGNIFICANCE:

SCS provides a reliable index of good indication for resective epilepsy surgery and can be easily available in many institutions not necessarily specializing in epilepsy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Selección de Paciente Límite: Adolescent / Adult / Child / Female / Humans / Male / Middle aged Idioma: En Revista: Epilepsia Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Selección de Paciente Límite: Adolescent / Adult / Child / Female / Humans / Male / Middle aged Idioma: En Revista: Epilepsia Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos