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Article: Temporal lobe resection for intractable epilepsy: review of 11 cases

TitleTemporal lobe resection for intractable epilepsy: review of 11 cases
Authors
KeywordsBrain diseases
Epilepsy/surgeryEpilepsy, temporal lobe
Temporal lobe/surgery
Treatment outcome
Issue Date1999
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org.hk
Citation
Hong Kong Medical Journal, 1999, v. 5 n. 4, p. 329-336 How to Cite?
AbstractOBJECTIVE. To review the management of medically intractable epilepsy by performing temporal lobe resection. DESIGN. Retrospective study. SETTING. University teaching hospital, Hong Kong. PATIENTS. Eleven patients: seven women and four men (mean age, 28 years; range, 19-49 years) who underwent temporal lobe resection for intractable epilepsy from 1994 through 1998. MAIN OUTCOME MEASURES. Preoperative and operative aspects of treatment, postoperative complications, mortality, and seizure control before and after surgery. RESULTS. All but one patient had long-standing medically intractable temporal lobe epilepsy; the duration between the onset of seizure and surgery ranged from 12 to 27 years (mean, 17.2 years). A total of 12 resections were performed without any mortalities or major postoperative complications. After surgery, two patients became seizure-free without the need for antiepileptic medication; six patients were seizure-free but required medication; and two patients showed >90% of improvement in seizure control, whereas one patient showed between 50% and 90% of improvement. Nine (81%) of the 11 patients reported significant improvement in their social life and performance of daily activities. Two (18%) patients, including one with improved seizure control, reported no improvement in their performance of daily functions. CONCLUSIONS. Temporal lobe resection can produce significant improvements in patients who have medically intractable epilepsy. The risks of surgery are relatively small and justifiable.
Persistent Identifierhttp://hdl.handle.net/10722/45402
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279

 

DC FieldValueLanguage
dc.contributor.authorLeung, GKKen_HK
dc.contributor.authorFan, YWen_HK
dc.contributor.authorFong, KYen_HK
dc.date.accessioned2007-10-30T06:24:42Z-
dc.date.available2007-10-30T06:24:42Z-
dc.date.issued1999en_HK
dc.identifier.citationHong Kong Medical Journal, 1999, v. 5 n. 4, p. 329-336en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/45402-
dc.description.abstractOBJECTIVE. To review the management of medically intractable epilepsy by performing temporal lobe resection. DESIGN. Retrospective study. SETTING. University teaching hospital, Hong Kong. PATIENTS. Eleven patients: seven women and four men (mean age, 28 years; range, 19-49 years) who underwent temporal lobe resection for intractable epilepsy from 1994 through 1998. MAIN OUTCOME MEASURES. Preoperative and operative aspects of treatment, postoperative complications, mortality, and seizure control before and after surgery. RESULTS. All but one patient had long-standing medically intractable temporal lobe epilepsy; the duration between the onset of seizure and surgery ranged from 12 to 27 years (mean, 17.2 years). A total of 12 resections were performed without any mortalities or major postoperative complications. After surgery, two patients became seizure-free without the need for antiepileptic medication; six patients were seizure-free but required medication; and two patients showed >90% of improvement in seizure control, whereas one patient showed between 50% and 90% of improvement. Nine (81%) of the 11 patients reported significant improvement in their social life and performance of daily activities. Two (18%) patients, including one with improved seizure control, reported no improvement in their performance of daily functions. CONCLUSIONS. Temporal lobe resection can produce significant improvements in patients who have medically intractable epilepsy. The risks of surgery are relatively small and justifiable.en_HK
dc.format.extent146392 bytes-
dc.format.extent2278 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypetext/plain-
dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org.hken_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectBrain diseasesen_HK
dc.subjectEpilepsy/surgeryEpilepsy, temporal lobeen_HK
dc.subjectTemporal lobe/surgeryen_HK
dc.subjectTreatment outcomeen_HK
dc.titleTemporal lobe resection for intractable epilepsy: review of 11 casesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=5&issue=4&spage=329&epage=336&date=1999&atitle=Temporal+lobe+resection+for+intractable+epilepsy:+review+of+11+casesen_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid10870158en_HK
dc.identifier.hkuros47640-

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