Title: Surgical treatment for frontal lobe epilepsy
Abstract: Objective To investigate the surgical procedures and outcomes of intractable frontal lobe epilepsy.Methods Clinical data,electroencephalographm (EEG),surgical procedures and outcomes of 116 patients with intractable frontal lobe epilepsy between March 2003 and April 2009 were reviewed.Results All cases were followed-up from 1 year to 6 years (average 2.6 years). Among all the patients,49 patients (42.2%) got Engel class Ⅰ outcome (free of disabling seizures),36 patients (31.0%) got Engel class Ⅱ outcome (more than 90% decreased in their seizure frequency),19 patients (16.4%) got Engel class Ⅲ outcome (more than 75% decreasesd in their seizure frequency),and 12 patients (10.3%) got Engel class Ⅳ outcome (less than 75% decreased in their seizure frequency or no improvement). The effective rate was 89.7% and the ratio of excellent outcome was 73.3%. Furthermore,improvement of cognitive abilities,behavior,and quality of life was reported in most cases. There was no death and serious complication.Conclusion Accurate location of primary seizure foci and complete resection of all seizure foci by suitable surgical procedures are crucial in the surgery of frontal lobe epilepsy. In some cases it is necessary to locate seizure foci by intracranial EEG.
Publication Year: 2010
Publication Date: 2010-01-01
Language: en
Type: article
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Cited By Count: 1
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