P.096 Effectiveness of palliative focal resective surgery in intracranial EEG confirmed multifocal intractable epilepsy in adult patients Article Swipe

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G Tamura , Samuel Wiebe , Cassandra D. Josephson , Anthony P. Salmon , Sarman Singh , Walter Hader ·

YOU? · · 2023 · Open Access · · DOI: https://doi.org/10.1017/cjn.2023.191

Background: Effectiveness of “palliative resections” of a dominant epileptogenic focus in adults with multifocal intractable epilepsy confirmed on intracranial EEG has rarely been reported. Methods: We retrospectively reviewed our database to identify patients who underwent focal resection after confirmation of multiple seizure foci on intracranial EEG. Results of presurgical investigations, intracranial EEG, procedures, complications and outcome were collected. Results: A total of 17 patients underwent palliative resection (8 left, 9 right). Preoperative MRI revealed malformations of cortical development in 6 patients, and MTS in 6 patients. Intracranial stereo EEG revealed 8 bilateral and 9 unilateral multifocal epileptogenic foci. Surgical procedures included anterior temporal lobectomy (ATL) or selective amygdalohippocampectomy in 4 patients, ATL plus additional cortical resection in 7 patients, and extratemporal resection in 6 patients. One patient had dysphasia post ATL and a second patient had worsened cognitive dysfunction post extended frontal lobectomy. Favorable seizure outcome (Engel class I and II) was achieved in 10 patients (58.8%). Pathology revealed focal cortical dysplasia in 6 patients and hippocampal sclerosis in 5 patients. Conclusions: Palliative resection of a dominant epileptogenic focus confirmed by intracranial EEG is effective in carefully selected adult cases of intractable epilepsy, particularly in patients with lesional epilepsy.

Related Topics

Medicine

Epilepsy

Electroencephalography

Tuberous Sclerosis

Radiology

Psychiatry

Concepts

Cortical dysplasia Medicine Epilepsy Hippocampal sclerosis Electroencephalography Epilepsy surgery Anterior temporal lobectomy Surgery Tuberous sclerosis Temporal lobe Radiology Psychiatry

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Type: article
Language: en
Landing Page: https://doi.org/10.1017/cjn.2023.191
PDF: https://www.cambridge.org/core/services/aop-cambridge-core/content/view/3870444ADECC9C5F817AF7094E9079DB/S0317167123001919a.pdf/div-class-title-p-096-effectiveness-of-palliative-focal-resective-surgery-in-intracranial-eeg-confirmed-multifocal-intractable-epilepsy-in-adult-patients-div.pdf
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OpenAlex ID: https://openalex.org/W4379347282

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DOI: https://doi.org/10.1017/cjn.2023.191

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Title: P.096 Effectiveness of palliative focal resective surgery in intracranial EEG confirmed multifocal intractable epilepsy in adult patients

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Language: en

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Publication year: 2023

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Publication date: 2023-06-01

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Authors: G Tamura, Samuel Wiebe, Cassandra D. Josephson, Anthony P. Salmon, Sarman Singh, Walter Hader

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Landing page: https://doi.org/10.1017/cjn.2023.191

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PDF URL: https://www.cambridge.org/core/services/aop-cambridge-core/content/view/3870444ADECC9C5F817AF7094E9079DB/S0317167123001919a.pdf/div-class-title-p-096-effectiveness-of-palliative-focal-resective-surgery-in-intracranial-eeg-confirmed-multifocal-intractable-epilepsy-in-adult-patients-div.pdf

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Concepts: Cortical dysplasia, Medicine, Epilepsy, Hippocampal sclerosis, Electroencephalography, Epilepsy surgery, Anterior temporal lobectomy, Surgery, Tuberous sclerosis, Temporal lobe, Radiology, Psychiatry

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abstract_inverted_index.additional	113
abstract_inverted_index.collected.	57
abstract_inverted_index.lobectomy.	142
abstract_inverted_index.multifocal	13, 95
abstract_inverted_index.palliative	65
abstract_inverted_index.procedures	99
abstract_inverted_index.unilateral	94
abstract_inverted_index.Background:	0
abstract_inverted_index.development	77
abstract_inverted_index.dysfunction	138
abstract_inverted_index.hippocampal	166
abstract_inverted_index.intractable	14, 191
abstract_inverted_index.presurgical	48
abstract_inverted_index.procedures,	52
abstract_inverted_index.Conclusions:	171
abstract_inverted_index.Intracranial	86
abstract_inverted_index.Preoperative	71
abstract_inverted_index.confirmation	38
abstract_inverted_index.intracranial	18, 44, 50, 181
abstract_inverted_index.particularly	193
abstract_inverted_index.Effectiveness	1
abstract_inverted_index.complications	53
abstract_inverted_index.epileptogenic	8, 96, 177
abstract_inverted_index.extratemporal	120
abstract_inverted_index.malformations	74
abstract_inverted_index.resections”	4
abstract_inverted_index.“palliative	3
abstract_inverted_index.investigations,	49
abstract_inverted_index.retrospectively	26
abstract_inverted_index.amygdalohippocampectomy	107
cited_by_percentile_year
countries_distinct_count	1
institutions_distinct_count	6
sustainable_development_goals[0].id	https://metadata.un.org/sdg/3
sustainable_development_goals[0].score	0.75
sustainable_development_goals[0].display_name	Good health and well-being
citation_normalized_percentile.value	0.12221434
citation_normalized_percentile.is_in_top_1_percent	False
citation_normalized_percentile.is_in_top_10_percent	False