COMBINED OPERATIONS FOR COMPLEX INTRACTABLE EPILEPSY
Abstract number :
3.254
Submission category :
Year :
2002
Submission ID :
3015
Source :
www.aesnet.org
Presentation date :
12/7/2002 12:00:00 AM
Published date :
Dec 1, 2002, 06:00 AM
Authors :
Zhenrong Sun, Guoming Luan, Qin Bai. Neuresurgery, Beijing Tiantan Hospital, Beijing, China; Neurosurgery & Neurobiology, Tiantan Hospital & Beijing Neurosurgical Institute, Beijing, China
RATIONALE: A single operative method is very hard to achieve statisfactory control for some complex intractable epilepsy. We pilot to study the combined several operations for complex intractable epilepsy during one surgery, including leision resection or hippocampectomy, callosotomy and bipolar coagulation on functional cortexes (BCFC). The surgical outcomes were evaluated.
METHODS: 230 seizure patients were surgical treament in Beijing Tiantan Hospital from 2000 to 2001,and 15 of them underwent combined operations. All of them wre medicated with multiple anticonvulsants and had more than 2 or 3 kinds of medicines before surgery. All patients wre evaluated by video/EEG monitoring and MRI and PET. 13 patients underwent anterior callosotomy combined with anterior temporal lobectomy, hippocampectomy and BCFC, 1 occipital lobe resection combined with anterior callosotomy, hippocampectomy and BCFC, 1 basal cistern tumor resection and anterio temporal lobectomy combined with hippocampectomy, callosomy and BCFC.
RESULTS: Follow-up from 3 to 12 months was available for all patients. No permanent complication and mortality occurred. The fact that seizure free in 14 patients and 2 seizures in 1 patients with 1 medicine in 12 patients and 2 medicines in 3 patients indicated the surgical outcome was execellent.
CONCLUSIONS: For complex intractable epilpsy the combined opretions were effective on seizure contral and as safe as regular seizure surgery.
[Supported by: Beijing Neurosurgerical Institute]