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Results of lesional vs. nonlesional frontal lobe epilepsy surgery.
Smith, J R; Lee, M R; King, D W; Murro, A M; Park, Y D; Lee, G P; Loring, D W; Meador, K J; Harp, R.
Afiliación
  • Smith JR; Section of Neurosurgery, Medical College of Georgia, Augusta, USA. deptsurg.jsmith@mail.mcg.edu
Stereotact Funct Neurosurg ; 69(1-4 Pt 2): 202-9, 1997.
Article en En | MEDLINE | ID: mdl-9711755
Fifty-three seizure focus resections limited to the frontal lobe were performed. Forty-nine had adequate follow-up. Five of 17 (29%) nonlesional (NL) cases and 21 of 32 (66%) lesional (L) cases were seizure free (SF) at 1 year postoperatively. Eight of 9 (89%) L cases < or = 18 years old vs. 13 of 23 (57%) > 18 years old were SF. Eight of 10 (80%) tumor vs. 13 of 22 (59%) nontumor L cases were SF. Sixteen NL cases were localized by invasive recording. Five (31%) were SF. Ictal localization was obtained in 4 of 32 L cases. Three of 4 (75%) were SF. Eighteen of 24 (64%) L cases without ictal localization were SF. Nine of 12 (75%) lateral resections, 7 of 12 (58%) lobectomies, and 2 of 13 (15%) mesial resections were SF. Three of 20 cases with at least 90% reduction in seizures became SD > or = 2 years postresection. No case with < 90% seizure reduction at one year showed improvement with longer follow-up.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Epilepsia del Lóbulo Frontal / Lóbulo Frontal Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Adolescent / Adult / Child / Humans Idioma: En Revista: Stereotact Funct Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 1997 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Epilepsia del Lóbulo Frontal / Lóbulo Frontal Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Adolescent / Adult / Child / Humans Idioma: En Revista: Stereotact Funct Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 1997 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza