Microsurgical treatment of patients with refractory epilepsy and mesial temporal cavernous malformations: Clinical experience of a tertiary epilepsy center
Mesiotemporal cavernous malformation can occur in 10-20% of patients with cerebral cavernomas and are frequently associated with refractory. A retrospective investigation was performed in the epilepsy clinic of a Brazilian tertiary referral epilepsy center, from January 2000 to March 2012. A total o...
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| Veröffentlicht in: | Surgical neurology international 2015-01, Vol.6 (1), p.169 |
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| creator | Meguins, Lucas Crociati Rocha da Cruz Adry, Rodrigo Antônio da Silva Júnior, Sebastião Carlos Pereira, Carlos Umberto de Oliveira, Jean Gonçalves de Morais, Dionei Freitas de Araújo Filho, Gerardo Maria Marques, Lúcia Helena Neves |
| description | Mesiotemporal cavernous malformation can occur in 10-20% of patients with cerebral cavernomas and are frequently associated with refractory.
A retrospective investigation was performed in the epilepsy clinic of a Brazilian tertiary referral epilepsy center, from January 2000 to March 2012.
A total of 21 patients were included in the study. Thirteen patients (62%) evolved to Engel I; 5 (24%) to Engel II, 2 (10%) to Engel III, and 1 (5%) to Engel IV. We observed that 10 (48%) patients with 12 years or less of epilepsy duration evolved to Engel I and 1 (5%) to Engel II; whereas from a total of 10 patients with epilepsy duration of more than 12 years, 3 (30%) evolved to Engel I and 7 (70%) to Engel II, III, or IV (P < 0.001 [bilateral]; P1 ≠ P2).
Postsurgical seizure outcome for temporal lobe epilepsy associated with mesiotemporal cavernomas is very satisfactory. |
| doi_str_mv | 10.4103/2152-7806.169552 |
| format | Article |
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A retrospective investigation was performed in the epilepsy clinic of a Brazilian tertiary referral epilepsy center, from January 2000 to March 2012.
A total of 21 patients were included in the study. Thirteen patients (62%) evolved to Engel I; 5 (24%) to Engel II, 2 (10%) to Engel III, and 1 (5%) to Engel IV. We observed that 10 (48%) patients with 12 years or less of epilepsy duration evolved to Engel I and 1 (5%) to Engel II; whereas from a total of 10 patients with epilepsy duration of more than 12 years, 3 (30%) evolved to Engel I and 7 (70%) to Engel II, III, or IV (P < 0.001 [bilateral]; P1 ≠ P2).
Postsurgical seizure outcome for temporal lobe epilepsy associated with mesiotemporal cavernomas is very satisfactory.</description><identifier>ISSN: 2229-5097</identifier><identifier>ISSN: 2152-7806</identifier><identifier>EISSN: 2152-7806</identifier><identifier>DOI: 10.4103/2152-7806.169552</identifier><identifier>PMID: 26629395</identifier><language>eng</language><publisher>United States: Medknow Publications & Media Pvt Ltd</publisher><subject>Original</subject><ispartof>Surgical neurology international, 2015-01, Vol.6 (1), p.169</ispartof><rights>Copyright: © 2015 Surgical Neurology International 2015</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3112-f43072d1119b943f30108b70f42feb6add101d21389b977b86d4567e2dda27a43</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4653350/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4653350/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27915,27916,53782,53784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26629395$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meguins, Lucas Crociati</creatorcontrib><creatorcontrib>Rocha da Cruz Adry, Rodrigo Antônio</creatorcontrib><creatorcontrib>da Silva Júnior, Sebastião Carlos</creatorcontrib><creatorcontrib>Pereira, Carlos Umberto</creatorcontrib><creatorcontrib>de Oliveira, Jean Gonçalves</creatorcontrib><creatorcontrib>de Morais, Dionei Freitas</creatorcontrib><creatorcontrib>de Araújo Filho, Gerardo Maria</creatorcontrib><creatorcontrib>Marques, Lúcia Helena Neves</creatorcontrib><title>Microsurgical treatment of patients with refractory epilepsy and mesial temporal cavernous malformations: Clinical experience of a tertiary epilepsy center</title><title>Surgical neurology international</title><addtitle>Surg Neurol Int</addtitle><description>Mesiotemporal cavernous malformation can occur in 10-20% of patients with cerebral cavernomas and are frequently associated with refractory.
A retrospective investigation was performed in the epilepsy clinic of a Brazilian tertiary referral epilepsy center, from January 2000 to March 2012.
A total of 21 patients were included in the study. Thirteen patients (62%) evolved to Engel I; 5 (24%) to Engel II, 2 (10%) to Engel III, and 1 (5%) to Engel IV. We observed that 10 (48%) patients with 12 years or less of epilepsy duration evolved to Engel I and 1 (5%) to Engel II; whereas from a total of 10 patients with epilepsy duration of more than 12 years, 3 (30%) evolved to Engel I and 7 (70%) to Engel II, III, or IV (P < 0.001 [bilateral]; P1 ≠ P2).
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A retrospective investigation was performed in the epilepsy clinic of a Brazilian tertiary referral epilepsy center, from January 2000 to March 2012.
A total of 21 patients were included in the study. Thirteen patients (62%) evolved to Engel I; 5 (24%) to Engel II, 2 (10%) to Engel III, and 1 (5%) to Engel IV. We observed that 10 (48%) patients with 12 years or less of epilepsy duration evolved to Engel I and 1 (5%) to Engel II; whereas from a total of 10 patients with epilepsy duration of more than 12 years, 3 (30%) evolved to Engel I and 7 (70%) to Engel II, III, or IV (P < 0.001 [bilateral]; P1 ≠ P2).
Postsurgical seizure outcome for temporal lobe epilepsy associated with mesiotemporal cavernomas is very satisfactory.</abstract><cop>United States</cop><pub>Medknow Publications & Media Pvt Ltd</pub><pmid>26629395</pmid><doi>10.4103/2152-7806.169552</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Original |
| title | Microsurgical treatment of patients with refractory epilepsy and mesial temporal cavernous malformations: Clinical experience of a tertiary epilepsy center |
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