The Preoperative Electroclinical Evaluation Determines Postoperative Seizure Control after Temporal Lobectomy

  • M. Rayport
  • W. S. Corrie
  • S. M. Ferguson

Abstract

We have tested the hypothesis that the outcome of temporal corticectomy for seizure control is a function of the clinical and electrophysiological methodology employed in case selection in 25 consecutive cases of temporolimbic seizures from a study population of 68 sequential patients with medically intractable epilepsy who had received complete in-hospital neurological, neuropsychiatry, radiological, extracranial EEG, and stereoelectroencephalographic (SEEG) assessment. The relatively low published rates of complete seizure control (30%–40% seizure-free) after temporal lobectomy (Jensen 1975; Rasmussen 1975) indicate the limitations of seizure control consequent to reliance on interictal extracranial EEG recording for selection of surgical candidates. Our methodology comprised three aspects: surgical philosophy, surgical selection criteria, and indications for SEEG.

Keywords

Neurol Unifo 

References

  1. Jensen I (1975) Temporal lobe surgery around the world. Results, complications, and mortality. Acta Neurol Scand 52: 354–373PubMedCrossRefGoogle Scholar
  2. Rasmussen T (1975) Surgical treatment of patients with complex partial seizures. In: Penry JK, Daly DD (eds) Complex partial seizures and their treatment. Advances in neurology, vol. 11. Raven, New York, pp 415–442Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • M. Rayport
    • 1
  • W. S. Corrie
    • 1
  • S. M. Ferguson
    • 1
  1. 1.Department of Neurological SurgeryMedical College of OhioToledoUSA

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