The seizure outcome after amygdalohippocampectomy and temporal lobectomy

The aim of this study was to compare the seizure outcome of two different types of epilepsy surgery, selective amydalohippocampectomy (AHE) and anterior temporal lobectomy (ATLE) in patients with temporal lobe epilepsy. We included 114 patients who had mesio‐temporal lobe epilepsy and hippocampal sc...

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Veröffentlicht in:European journal of neurology 2007-01, Vol.14 (1), p.90-94
Hauptverfasser: Bate, H., Eldridge, P., Varma, T., Wieshmann, U. C.
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container_title European journal of neurology
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creator Bate, H.
Eldridge, P.
Varma, T.
Wieshmann, U. C.
description The aim of this study was to compare the seizure outcome of two different types of epilepsy surgery, selective amydalohippocampectomy (AHE) and anterior temporal lobectomy (ATLE) in patients with temporal lobe epilepsy. We included 114 patients who had mesio‐temporal lobe epilepsy and hippocampal sclerosis or gliosis on histology. Patients had ATLE if the non‐dominant hemisphere was affected or if the whole temporal lobe was atrophic. Patients had AHE if the dominant hemisphere was affected. Standardized seizure outcome at 1 year following surgery was used. Overall 40% of the 114 patients who had temporal lobe epilepsy surgery were seizure‐free at 1‐year (Engel's class Ia). A good outcome (Engel's classes I and II) was significantly more frequent in ATLE than in AHE. (66% and 44%, respectively, P = 0.03). ATLE had a better seizure outcome than AHE.
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source Wiley-Blackwell Journals; MEDLINE
subjects Adolescent
Adult
Amygdala - surgery
amygdalohippomcampectomy
epilepsy
Epilepsy - physiopathology
Epilepsy - surgery
Female
Hippocampus - surgery
Humans
Male
Middle Aged
Seizures - physiopathology
Seizures - surgery
surgery
Temporal Lobe - surgery
temporal lobectomy
Treatment Outcome
title The seizure outcome after amygdalohippocampectomy and temporal lobectomy
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