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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

Partial Seizure Seizure Control Complex Partial Seizure Temporal Lobectomy Seizure Pattern 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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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