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Procedures and Outcomes in Epilepsy Surgery

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Epilepsy Board Review
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Abstract

Although surgery has risks, there are several reasons to consider it for patients with epilepsy.

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References

  1. Buck D, Baker GA, Jacoby A, Smith DF, Chadwick DW. Patients’ experiences of injury as a result of epilepsy. Epilepsia. 1997;38:439–44.

    Article  CAS  PubMed  Google Scholar 

  2. Kwan P, Brodie MJ. Early identification of refractory epilepsy. N Engl J Med. 2000;342:314–319.

    Google Scholar 

  3. Wiebe S, Blume WT, Girvin JP, Eliasziw M. A randomized, controlled trial of surgery for temporal-lobe epilepsy. N Engl J Med. 2001;345:311–8. doi:10.1056/nejm200108023450501.

    Article  CAS  PubMed  Google Scholar 

  4. Velasco TR, Mathern GW. In Wyllie’s treatment of epilepsy: principles and practice. In: Cascino GD, Wyllie E, Gidal BE,Goodkin HP, editors Ch. 82, 922–936 (Wolters Kluwer/Lippincott Williams & Wilkins, 2011).

    Google Scholar 

  5. Pacia SV, et al. Clinical features of neocortical temporal lobe epilepsy. Ann Neurol. 1996;40:724–30. doi:10.1002/ana.410400508.

    Article  CAS  PubMed  Google Scholar 

  6. Zaatreh MM, Firlik KS, Spencer DD, Spencer SS. Temporal lobe tumoral epilepsy: characteristics and predictors of surgical outcome. Neurology. 2003;61:636–41.

    Article  PubMed  Google Scholar 

  7. Frater JL, Prayson RA, Morris IH, Bingaman WE. Surgical pathologic findings of extratemporal-based intractable epilepsy: a study of 133 consecutive resections. Arch Pathol Lab Med. 2000;124:545–549. Doi:10.1043/0003-9985(2000)124<0545:spfoeb>2.0.co;2.

  8. So N, et al. Depth electrode investigations in patients with bitemporal epileptiform abnormalities. Ann Neurol. 1989;25:423–31.

    Article  CAS  PubMed  Google Scholar 

  9. Spencer SS. Depth versus subdural electrode studies for unlocalized epilepsy. J. Epilepsy. 1989;2:123–7.

    Article  Google Scholar 

  10. Cossu M, et al. Stereoelectroencephalography in the presurgical evaluation of children with drug-resistant focal epilepsy. J Neurosurg. 2005;103:333–43.

    PubMed  Google Scholar 

  11. Hamer HM, et al. Complications of invasive video-EEG monitoring with subdural grid electrodes. Neurology. 2002;58:97–103.

    Article  CAS  PubMed  Google Scholar 

  12. Lesser RP, Crone NE, WRS W. Subdural electrodes. Clin Neurophysiol. 2010;121.

    Google Scholar 

  13. Nathan SS, Lesser RP, Gordon B, Thakor NV. Electrical stimulation of the human cerebral cortex. Theoretical approach. [Review]. Adv Neurol. 1993;63:61–85.

    CAS  PubMed  Google Scholar 

  14. Nathan SS, Sinha SR, Gordon B, Lesser RP, Thakor NV. Determination of current density distributions generated by electrical stimulation of the human cerebral cortex. Electroencephalogr Clin Neurophysiol. 1993;86:183–92.

    Article  CAS  PubMed  Google Scholar 

  15. Crone NE, et al. Functional mapping of human sensorimotor cortex with electrocorticographic spectral analysis. I. Alpha and beta event-related desynchronization. Brain. 1998;121:2271–99.

    Article  PubMed  Google Scholar 

  16. Crone NE, Miglioretti DL, Gordon B, Lesser RP. Functional mapping of human sensorimotor cortex with electrocorticographic spectral analysis. II. Event-related synchronization in the gamma band. Brain. 1998;121:2301–15.

    Article  PubMed  Google Scholar 

  17. Wiebe S, Blume WT, Girvin JP, Eliasziw MA. Randomized, controlled trial of surgery for temporal-lobe epilepsy. N Engl J Med. 2001;345:311–318.

    Google Scholar 

  18. McLachlan RS, et al. Health-related quality of life and seizure control in temporal lobe epilepsy. Ann Neurol. 1997;41:482–9.

    Article  CAS  PubMed  Google Scholar 

  19. Jehi L, Martinez-Gonzalez J, Bingaman W. In Wyllie’s treatment of epilepsy: principles and practice. In: Wyllie E, Cascino GD, Gidal BE, Goodkin HP, editors) Ch. 90, 1007–1020 (Wolters Kluwer/Lippincott Williams & Wilkins, 2011).

    Google Scholar 

  20. Schmidt D, Baumgartner C, Loscher W. The chance of cure following surgery for drug-resistant temporal lobe epilepsy. What do we know and do we need to revise our expectations? Epilepsy Res. 2004;60:187–201. doi:10.1016/j.eplepsyres.2004.07.004.

    PubMed  Google Scholar 

  21. Engel, J Jr., Van Ness PC, Rasmussen TB, Ojemann LM. In surgical treatment of the epilepsies (ed J. Engel, Jr.) Ch. 52, 609–621 (Raven Press, 1993).

    Google Scholar 

  22. Wieser HG, et al. ILAE commission report. proposal for a new classification of outcome with respect to epileptic seizures following epilepsy surgery. Epilepsia. 2001;42:282–6.

    Article  CAS  PubMed  Google Scholar 

  23. Stroup E, et al. Predicting verbal memory decline following anterior temporal lobectomy (ATL). Neurology. 2003;60:1266–73.

    Article  CAS  PubMed  Google Scholar 

  24. Hirsch LJ, Spencer SS, Spencer DD, Williamson PD, Mattson R. Temporal lobectomy in patients with bitemporal epilepsy as defined by depth electroencephalography. Ann Neurol. 1991;30:347–56.

    Article  CAS  PubMed  Google Scholar 

  25. Pilcher WH, Ojemann GA. In brain surgery: complication, avoidance and management (ed M.L.J. Apuzzo) (Churchill Livingston, 1993).

    Google Scholar 

  26. Kanner AM. Do psychiatric comorbidities have a negative impact on the course and treatment of seizure disorders? Curr Opin Neurol. 2013;26:208–13. doi:10.1097/WCO.0b013e32835ee579.

    Article  PubMed  Google Scholar 

  27. Kanner AM, Balabanov AJ. In textbook of epilepsy surgery (Lüders HO, editor). Boca Raton: CRC Press;2008. p. 1254–1261.

    Google Scholar 

  28. Chugani HT, et al. Infantile spasms: I. PET identifies focal cortical dysgenesis in cryptogenic cases for surgical treatment. Ann Neurol. 1990;27:406–13. doi:10.1002/ana.410270408.

    Article  CAS  PubMed  Google Scholar 

  29. Morrell F, Whisler WW, Bleck TP. Multiple subpial transection: a new approach to the surgical treatment of focal epilepsy. J Neurosurg. 1989;70:231–9.

    Article  CAS  PubMed  Google Scholar 

  30. Kaufmann WE, Krauss GL, Uematsu S, Lesser RP. Treatment of epilepsy with multiple subpial transections: an acute histologic analysis in human subjects. Epilepsia. 1996;37:342–52.

    Article  CAS  PubMed  Google Scholar 

  31. Kaufmann WE, Krauss GL, Uematsu S, Lesser RP. Treatment of epilepsy with multiple subpial transections: an acute histologic analysis in human subjects. Epilepsia. 1996;37:342–52.

    Article  CAS  PubMed  Google Scholar 

  32. Arroyo S, Freeman JM. Epilepsy surgery in children: state of the art. Adv Pediatr. 1994;41:53–81.

    CAS  PubMed  Google Scholar 

  33. Spencer SS, Spencer DD, Glaser GH, Williamson PD, Mattson RH. More intense focal seizure types after callosal section: the role of inhibition. Ann Neurol. 1984;16:686–93. doi:10.1002/ana.410160611.

    Article  CAS  PubMed  Google Scholar 

  34. Wada JA, Sato M. The generalized convulsive seizure state induced by daily electrical stimulation of the amygdala in split brain cats. Epilepsia. 1975;16:417–30.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Ronald P. Lesser .

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Lesser, R.P. (2017). Procedures and Outcomes in Epilepsy Surgery. In: Koubeissi, M., Azar, N. (eds) Epilepsy Board Review. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-6774-2_26

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  • DOI: https://doi.org/10.1007/978-1-4939-6774-2_26

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