Results of Epilepsy Surgery at a Single Epilepsy Program.
Abstract number :
3.155
Submission category :
Year :
2001
Submission ID :
295
Source :
www.aesnet.org
Presentation date :
12/1/2001 12:00:00 AM
Published date :
Dec 1, 2001, 06:00 AM
Authors :
F.L. Vale, MD, Department of Neurosurgery, University of South Florida, Tampa, FL; W.O. Tatum, DO, Department of Neurology, University of South Florida, Tampa, FL; M. Gieron, MD, Departments of Pediatrics & Neurology, University of South Florida, Tampa, F
RATIONALE: Epilepsy surgery is a now a standard of care in the treatment of medically intractable epilepsy. We describe the results of epilepsy surgery at a relatively recent epilepsy program.
METHODS: We reviewed the outcome of epilepsy surgery performed at the University of South Florida and Tampa General Healthcare epilepsy program. We included all cases of epilepsy surgery operated on by a single (epilepsy) neurosurgeon (FV) between January 1998 and January 2001, excluding vagus nerve stimulator. The typical presurgical evaluation included clinical evaluation, EEG-video monitoring, MRI with dedicated epilepsy protocol, PET, SPECT, neuropsychological testing, and Wada testing. A relatively standardized algorithm was generally followed [Benbadis 2000]. We used the Engel outcome classification.
RESULTS: There was a total of 32 epilepsy surgery cases: 26 temporal lobectomies, 4 extratemporal resections, and 2 corpus callosotomies. Ages varied from 19 to 65 years.
Of the 26 temporal lobectomies:
- 18 had evidence for MTS: 16 were class I and 2 class II
- 5 had other lesions: all 5 were class I
- 3 had no lesions: 1 was class I and 2 class II
- overall outcome for temporal lobectomies: 22/26 class I, 4 class II
Of the 4 extratemporal resections:
- all were lesional
- 3 were class I and 1 class III.
CONCLUSIONS: The results of epilepsy surgery at our young epilepsy center, where the presurgical evaluation follows a relatively standardized approach, are comparable to larger multicenter series.
REFERENCE:
Benbadis SR, Tatum WO IV, Vale FL. When drugs don[ssquote]t work: An algorithmic approach to medically intractable epilepsy. Neurology 2000;55:1780-1784.