Epilepsy Surgery: Outcome, Complications, and Late Mortality in 215 Patients
Abstract number :
2.187
Submission category :
Year :
2000
Submission ID :
2782
Source :
www.aesnet.org
Presentation date :
12/2/2000 12:00:00 AM
Published date :
Dec 1, 2000, 06:00 AM
Authors :
Vicenta Salanova, Omkar N Markand, Robert M Worth, Indiana Univ Sch of Medicine, Indianapolis, IN.
RATIONALE: Few studies have analyzed late mortality following epilepsy surgery. METHODS: 215 patients underwent temporal resections following a presurgical evaluation, and were followed at 6 weeks, 3-6 months, and yearly thereafter. Outcome, complications and late mortality were analyzed. RESULTS: Mean age at surgery was 30 years. There was no surgical mortality. Two (0.9%) had hemiparesis, one a hemianopia, and 3% transient cranial nerve palsies. 69% became seizure free, 20% had rare seizures (follow-up 1-15 years). 3/148 (2%) of seizure-free patients and 7/67 (10%) of not seizure-free patients died during follow-up (p=<0.002). 6/104 (5.7%) with right and 4/111 (3.6%) with left-sided resections died during follow-up; p=0.5 (2 suicides, 3 during seizures, 2 sudden deaths, 2 accidents, and one breast cancer). CONCLUSIONS: Outcome was excellent with no surgical mortality. Late mortality was associated with persistent seizures. In contrast to a recent report, we found no difference between right and left-sided resections.