Long-term seizure outcome and risk factors for recurrence after extratemporal epilepsy surgery
Summary Purpose: We aimed to assess long‐term seizure outcome and risk factors for seizure recurrence in a cohort of patients who have undergone extratemporal resection for management of refractory seizures. Methods: Eighty‐one patients underwent extratemporal resection at Austin Health, Melbourne...
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| Published in | Epilepsia (Copenhagen) Vol. 53; no. 6; pp. 970 - 978 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford, UK
Blackwell Publishing Ltd
01.06.2012
Wiley-Blackwell Wiley Subscription Services, Inc |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0013-9580 1528-1167 1528-1167 |
| DOI | 10.1111/j.1528-1167.2012.03430.x |
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| Abstract | Summary
Purpose: We aimed to assess long‐term seizure outcome and risk factors for seizure recurrence in a cohort of patients who have undergone extratemporal resection for management of refractory seizures.
Methods: Eighty‐one patients underwent extratemporal resection at Austin Health, Melbourne, Australia (1991–2004). Seizure recurrence was any postoperative disabling seizure (complex partial seizure [CPS] ± secondary generalization). Multivariate Cox proportional hazards regression models examined potential preoperative and perioperative risk factors and the risk associated with early postoperative seizures (≤28 days postsurgery). The change between preoperative and postoperative seizure frequency was also measured.
Key Findings: Median follow‐up was 10.3 years (range 1–17.7). The probabilities of freedom from disabling seizures (on or off antiepileptic medication) were 40.7% (95% confidence interval [CI] 30–51) at 1 month, 23.5% (95% CI 15–33) at 1 year, and 14.7% (95% CI 8–23) at 5 years postoperative. Reduction of disabling seizures to at least 20% of preoperative frequency was attained by 57% of patients at 5 postoperative years. Of the preoperative/perioperative factors, focal cortical dysplasia (FCD) type 1 (hazard ratio [HR] 1.90, 95% CI 1.08–3.34, p = 0.025) and incomplete resection (HR 1.71, 95% CI 1.06–2.76, p = 0.028) were independent recurrence risks. After surgery, an early postoperative seizure was the only factor associated with higher risk (HR 4.28 [2.42–7.57], p = 0.00).
Significance: Distinction between subtypes of focal cortical dysplasia, which can be made using magnetic resonance imaging (MRI) criteria, may be useful for preoperative prognostication. Early seizures after surgery are not benign and may be markers of factors that contribute to seizure recurrence. Most patients achieve substantial reduction in seizure frequency. Further study of the significance of this reduction in terms of surgical “success” or otherwise is required. |
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| AbstractList | We aimed to assess long-term seizure outcome and risk factors for seizure recurrence in a cohort of patients who have undergone extratemporal resection for management of refractory seizures.PURPOSEWe aimed to assess long-term seizure outcome and risk factors for seizure recurrence in a cohort of patients who have undergone extratemporal resection for management of refractory seizures.Eighty-one patients underwent extratemporal resection at Austin Health, Melbourne, Australia (1991-2004). Seizure recurrence was any postoperative disabling seizure (complex partial seizure [CPS] ± secondary generalization). Multivariate Cox proportional hazards regression models examined potential preoperative and perioperative risk factors and the risk associated with early postoperative seizures (≤ 28 days postsurgery). The change between preoperative and postoperative seizure frequency was also measured.METHODSEighty-one patients underwent extratemporal resection at Austin Health, Melbourne, Australia (1991-2004). Seizure recurrence was any postoperative disabling seizure (complex partial seizure [CPS] ± secondary generalization). Multivariate Cox proportional hazards regression models examined potential preoperative and perioperative risk factors and the risk associated with early postoperative seizures (≤ 28 days postsurgery). The change between preoperative and postoperative seizure frequency was also measured.Median follow-up was 10.3 years (range 1-17.7). The probabilities of freedom from disabling seizures (on or off antiepileptic medication) were 40.7% (95% confidence interval [CI] 30-51) at 1 month, 23.5% (95% CI 15-33) at 1 year, and 14.7% (95% CI 8-23) at 5 years postoperative. Reduction of disabling seizures to at least 20% of preoperative frequency was attained by 57% of patients at 5 postoperative years. Of the preoperative/perioperative factors, focal cortical dysplasia (FCD) type 1 (hazard ratio [HR] 1.90, 95% CI 1.08-3.34, p = 0.025) and incomplete resection (HR 1.71, 95% CI 1.06-2.76, p = 0.028) were independent recurrence risks. After surgery, an early postoperative seizure was the only factor associated with higher risk (HR 4.28 [2.42-7.57], p = 0.00).KEY FINDINGSMedian follow-up was 10.3 years (range 1-17.7). The probabilities of freedom from disabling seizures (on or off antiepileptic medication) were 40.7% (95% confidence interval [CI] 30-51) at 1 month, 23.5% (95% CI 15-33) at 1 year, and 14.7% (95% CI 8-23) at 5 years postoperative. Reduction of disabling seizures to at least 20% of preoperative frequency was attained by 57% of patients at 5 postoperative years. Of the preoperative/perioperative factors, focal cortical dysplasia (FCD) type 1 (hazard ratio [HR] 1.90, 95% CI 1.08-3.34, p = 0.025) and incomplete resection (HR 1.71, 95% CI 1.06-2.76, p = 0.028) were independent recurrence risks. After surgery, an early postoperative seizure was the only factor associated with higher risk (HR 4.28 [2.42-7.57], p = 0.00).Distinction between subtypes of focal cortical dysplasia, which can be made using magnetic resonance imaging (MRI) criteria, may be useful for preoperative prognostication. Early seizures after surgery are not benign and may be markers of factors that contribute to seizure recurrence. Most patients achieve substantial reduction in seizure frequency. Further study of the significance of this reduction in terms of surgical "success" or otherwise is required.SIGNIFICANCEDistinction between subtypes of focal cortical dysplasia, which can be made using magnetic resonance imaging (MRI) criteria, may be useful for preoperative prognostication. Early seizures after surgery are not benign and may be markers of factors that contribute to seizure recurrence. Most patients achieve substantial reduction in seizure frequency. Further study of the significance of this reduction in terms of surgical "success" or otherwise is required. Summary Purpose: We aimed to assess long‐term seizure outcome and risk factors for seizure recurrence in a cohort of patients who have undergone extratemporal resection for management of refractory seizures. Methods: Eighty‐one patients underwent extratemporal resection at Austin Health, Melbourne, Australia (1991–2004). Seizure recurrence was any postoperative disabling seizure (complex partial seizure [CPS] ± secondary generalization). Multivariate Cox proportional hazards regression models examined potential preoperative and perioperative risk factors and the risk associated with early postoperative seizures (≤28 days postsurgery). The change between preoperative and postoperative seizure frequency was also measured. Key Findings: Median follow‐up was 10.3 years (range 1–17.7). The probabilities of freedom from disabling seizures (on or off antiepileptic medication) were 40.7% (95% confidence interval [CI] 30–51) at 1 month, 23.5% (95% CI 15–33) at 1 year, and 14.7% (95% CI 8–23) at 5 years postoperative. Reduction of disabling seizures to at least 20% of preoperative frequency was attained by 57% of patients at 5 postoperative years. Of the preoperative/perioperative factors, focal cortical dysplasia (FCD) type 1 (hazard ratio [HR] 1.90, 95% CI 1.08–3.34, p = 0.025) and incomplete resection (HR 1.71, 95% CI 1.06–2.76, p = 0.028) were independent recurrence risks. After surgery, an early postoperative seizure was the only factor associated with higher risk (HR 4.28 [2.42–7.57], p = 0.00). Significance: Distinction between subtypes of focal cortical dysplasia, which can be made using magnetic resonance imaging (MRI) criteria, may be useful for preoperative prognostication. Early seizures after surgery are not benign and may be markers of factors that contribute to seizure recurrence. Most patients achieve substantial reduction in seizure frequency. Further study of the significance of this reduction in terms of surgical “success” or otherwise is required. Summary Purpose: We aimed to assess long-term seizure outcome and risk factors for seizure recurrence in a cohort of patients who have undergone extratemporal resection for management of refractory seizures. Methods: Eighty-one patients underwent extratemporal resection at Austin Health, Melbourne, Australia (1991-2004). Seizure recurrence was any postoperative disabling seizure (complex partial seizure [CPS] ± secondary generalization). Multivariate Cox proportional hazards regression models examined potential preoperative and perioperative risk factors and the risk associated with early postoperative seizures (≤28 days postsurgery). The change between preoperative and postoperative seizure frequency was also measured. Key Findings: Median follow-up was 10.3 years (range 1-17.7). The probabilities of freedom from disabling seizures (on or off antiepileptic medication) were 40.7% (95% confidence interval [CI] 30-51) at 1 month, 23.5% (95% CI 15-33) at 1 year, and 14.7% (95% CI 8-23) at 5 years postoperative. Reduction of disabling seizures to at least 20% of preoperative frequency was attained by 57% of patients at 5 postoperative years. Of the preoperative/perioperative factors, focal cortical dysplasia (FCD) type 1 (hazard ratio [HR] 1.90, 95% CI 1.08-3.34, p = 0.025) and incomplete resection (HR 1.71, 95% CI 1.06-2.76, p = 0.028) were independent recurrence risks. After surgery, an early postoperative seizure was the only factor associated with higher risk (HR 4.28 [2.42-7.57], p = 0.00). Significance: Distinction between subtypes of focal cortical dysplasia, which can be made using magnetic resonance imaging (MRI) criteria, may be useful for preoperative prognostication. Early seizures after surgery are not benign and may be markers of factors that contribute to seizure recurrence. Most patients achieve substantial reduction in seizure frequency. Further study of the significance of this reduction in terms of surgical "success" or otherwise is required. [PUBLICATION ABSTRACT] We aimed to assess long-term seizure outcome and risk factors for seizure recurrence in a cohort of patients who have undergone extratemporal resection for management of refractory seizures. Eighty-one patients underwent extratemporal resection at Austin Health, Melbourne, Australia (1991-2004). Seizure recurrence was any postoperative disabling seizure (complex partial seizure [CPS] ± secondary generalization). Multivariate Cox proportional hazards regression models examined potential preoperative and perioperative risk factors and the risk associated with early postoperative seizures (≤ 28 days postsurgery). The change between preoperative and postoperative seizure frequency was also measured. Median follow-up was 10.3 years (range 1-17.7). The probabilities of freedom from disabling seizures (on or off antiepileptic medication) were 40.7% (95% confidence interval [CI] 30-51) at 1 month, 23.5% (95% CI 15-33) at 1 year, and 14.7% (95% CI 8-23) at 5 years postoperative. Reduction of disabling seizures to at least 20% of preoperative frequency was attained by 57% of patients at 5 postoperative years. Of the preoperative/perioperative factors, focal cortical dysplasia (FCD) type 1 (hazard ratio [HR] 1.90, 95% CI 1.08-3.34, p = 0.025) and incomplete resection (HR 1.71, 95% CI 1.06-2.76, p = 0.028) were independent recurrence risks. After surgery, an early postoperative seizure was the only factor associated with higher risk (HR 4.28 [2.42-7.57], p = 0.00). Distinction between subtypes of focal cortical dysplasia, which can be made using magnetic resonance imaging (MRI) criteria, may be useful for preoperative prognostication. Early seizures after surgery are not benign and may be markers of factors that contribute to seizure recurrence. Most patients achieve substantial reduction in seizure frequency. Further study of the significance of this reduction in terms of surgical "success" or otherwise is required. Purpose: We aimed to assess long‐term seizure outcome and risk factors for seizure recurrence in a cohort of patients who have undergone extratemporal resection for management of refractory seizures. Methods: Eighty‐one patients underwent extratemporal resection at Austin Health, Melbourne, Australia (1991–2004). Seizure recurrence was any postoperative disabling seizure (complex partial seizure [CPS] ± secondary generalization). Multivariate Cox proportional hazards regression models examined potential preoperative and perioperative risk factors and the risk associated with early postoperative seizures (≤28 days postsurgery). The change between preoperative and postoperative seizure frequency was also measured. Key Findings: Median follow‐up was 10.3 years (range 1–17.7). The probabilities of freedom from disabling seizures (on or off antiepileptic medication) were 40.7% (95% confidence interval [CI] 30–51) at 1 month, 23.5% (95% CI 15–33) at 1 year, and 14.7% (95% CI 8–23) at 5 years postoperative. Reduction of disabling seizures to at least 20% of preoperative frequency was attained by 57% of patients at 5 postoperative years. Of the preoperative/perioperative factors, focal cortical dysplasia (FCD) type 1 (hazard ratio [HR] 1.90, 95% CI 1.08–3.34, p = 0.025) and incomplete resection (HR 1.71, 95% CI 1.06–2.76, p = 0.028) were independent recurrence risks. After surgery, an early postoperative seizure was the only factor associated with higher risk (HR 4.28 [2.42–7.57], p = 0.00). Significance: Distinction between subtypes of focal cortical dysplasia, which can be made using magnetic resonance imaging (MRI) criteria, may be useful for preoperative prognostication. Early seizures after surgery are not benign and may be markers of factors that contribute to seizure recurrence. Most patients achieve substantial reduction in seizure frequency. Further study of the significance of this reduction in terms of surgical “success” or otherwise is required. |
| Author | Kalnins, Renate M. Jackson, Graeme D. Averill, Clare A. McIntosh, Anne M. Fabinyi, Gavin C. A. Mitchell, L. Anne Berkovic, Samuel F. |
| Author_xml | – sequence: 1 givenname: Anne M. surname: McIntosh fullname: McIntosh, Anne M. organization: Epilepsy Research Centre, University of Melbourne, Melbourne, Victoria, Australia – sequence: 2 givenname: Clare A. surname: Averill fullname: Averill, Clare A. organization: Department of Neurology, Austin Health, Melbourne, Victoria, Australia – sequence: 3 givenname: Renate M. surname: Kalnins fullname: Kalnins, Renate M. organization: Department of Anatomical Pathology, Austin Health, Melbourne, Victoria, Australia – sequence: 4 givenname: L. Anne surname: Mitchell fullname: Mitchell, L. Anne organization: Department of Radiology, University of Melbourne, Melbourne, Victoria, Australia – sequence: 5 givenname: Gavin C. A. surname: Fabinyi fullname: Fabinyi, Gavin C. A. organization: Department of Neurosurgery, Austin Health, Melbourne, Victoria, Australia – sequence: 6 givenname: Graeme D. surname: Jackson fullname: Jackson, Graeme D. organization: Department of Medicine (Neurology), University of Melbourne, Melbourne, Victoria, Australia – sequence: 7 givenname: Samuel F. surname: Berkovic fullname: Berkovic, Samuel F. organization: Epilepsy Research Centre, University of Melbourne, Melbourne, Victoria, Australia |
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| Keywords | Recurrence Dysplasia Nervous system diseases Prognosis Resection Focal cortical dysplasia Epilepsy Balloon cells Neighborhood seizures Long term Cerebral disorder Convulsion Surgery Central nervous system disease Risk factor Neurological disorder |
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| PublicationDate | June 2012 |
| PublicationDateYYYYMMDD | 2012-06-01 |
| PublicationDate_xml | – month: 06 year: 2012 text: June 2012 |
| PublicationDecade | 2010 |
| PublicationPlace | Oxford, UK |
| PublicationPlace_xml | – name: Oxford, UK – name: Malden, MA – name: United States – name: Hoboken |
| PublicationTitle | Epilepsia (Copenhagen) |
| PublicationTitleAlternate | Epilepsia |
| PublicationYear | 2012 |
| Publisher | Blackwell Publishing Ltd Wiley-Blackwell Wiley Subscription Services, Inc |
| Publisher_xml | – name: Blackwell Publishing Ltd – name: Wiley-Blackwell – name: Wiley Subscription Services, Inc |
| References | Jehi LE, O'Dwyer R, Najm I, Alexopoulos A, Bingaman W. (2009) A longitudinal study of surgical outcome and its determinants following posterior cortex epilepsy surgery. Epilepsia 50:2040-2052. Kral T, von Lehe M, Podlogar M, Clusmann H, Sussmann P, Kurthen M, Becker A, Urbach H, Schramm J. (2007) Focal cortical dysplasia: long-term seizure outcome after surgical treatment. J Neurol Neurosurg Psychiatry 78:853-856. McIntosh AM, Wilson SJ, Berkovic SF. (2001) Seizure outcome after temporal lobectomy: current research practice and findings. Epilepsia 42:1288-1307. Mani J, Gupta A, Mascha E, Lachhwani D, Prakash K, Bingaman W, Wyllie E. (2006) Postoperative seizures after extratemporal resections and hemispherectomy in pediatric epilepsy. Neurology 66:1038-1043. Rosenow F, Luders HO, Dinner DS, Prayson RA, Mascha E, Wolgamuth BR, Comair YG, Bennett G. (1998) Histopathological correlates of epileptogenicity as expressed by electrocorticographic spiking and seizure frequency. Epilepsia 39:850-856. Yun CH, Lee SK, Lee SY, Kim KK, Jeong SW, Chung CK. (2006) Prognostic factors in neocortical epilepsy surgery: multivariate analysis. Epilepsia 47:574-579. Fauser S, Schulze-Bonhage A, Honegger J, Carmona H, Huppertz HJ, Pantazis G, Rona S, Bast T, Strobl K, Steinhoff BJ, Korinthenberg R, Rating D, Volk B, Zentner J. (2004) Focal cortical dysplasias: surgical outcome in 67 patients in relation to histological subtypes and dual pathology. Brain 127:2406-2418. Park K, Buchhalter J, McClelland R, Raffel C. (2002) Frequency and significance of acute postoperative seizures following epilepsy surgery in children and adolescents. Epilepsia 43:874-881. Tellez-Zenteno JF, Dhar R, Wiebe S. (2005) Long-term seizure outcomes following epilepsy surgery: a systematic review and meta-analysis. Brain 128:1188-1198. McIntosh AM, Kalnins RM, Mitchell LA, Berkovic SF. (2005) Early seizures after temporal lobectomy predict subsequent seizure recurrence. Ann Neurol 57:283-288. Siegel AM, Cascino GD, Meyer FB, Marsh WR, Scheithauer BW, Sharbrough FW. (2006) Surgical outcome and predictive factors in adult patients with intractable epilepsy and focal cortical dysplasia. Acta Neurol Scand 113:65-71. Wagner J, Urbach H, Niehusmann P, von Lehe M, Elger CE, Wellmer J. (2011) Focal cortical dysplasia type IIb: completeness of cortical, not subcortical, resection is necessary for seizure freedom. Epilepsia 52:1418-1424. Derry PA, Wiebe S. (2000) Psychological adjustment to success and to failure following epilepsy surgery. Can J Neurol Sci 27(Suppl. 1):S116-S120; discussion S121-125. Buckingham SE, Chervoneva I, Sharan A, Zangaladze A, Mintzer S, Skidmore C, Nei M, Evans J, Pequignot E, Sperling MR. (2010) Latency to first seizure after temporal lobectomy predicts long-term outcome. Epilepsia 51:1987-1993. Kim DW, Kim HK, Lee SK, Chu K, Chung CK. (2010) Extent of neocortical resection and surgical outcome of epilepsy: intracranial EEG analysis. Epilepsia 51:1010-1017. Radhakrishnan K, So EL, Silbert PL, Cascino GD, Marsh WR, Cha RH, O'Brien PC. (2003) Prognostic implications of seizure recurrence in the first year after anterior temporal lobectomy. Epilepsia 44:77-80. Jeha LE, Najm I, Bingaman W, Dinner D, Widdess-Walsh P, Luders H. (2007) Surgical outcome and prognostic factors of frontal lobe epilepsy surgery. Brain 130:574-584. Lee JJ, Lee SK, Lee SY, Park KI, Kim DW, Lee DS, Chung CK, Nam HW. (2008) Frontal lobe epilepsy: clinical characteristics, surgical outcomes and diagnostic modalities. Seizure 17:514-523. Zentner J, Hufnagel A, Ostertun B, Wolf HK, Behrens E, Campos MG, Solymosi L, Elger CE, Wiestler OD, Schramm J. (1996) Surgical treatment of extratemporal epilepsy: clinical, radiologic, and histopathologic findings in 60 patients. Epilepsia 37:1072-1080. McIntosh AM, Kalnins RM, Mitchell LA, Fabinyi GC, Briellmann RS, Berkovic SF. (2004) Temporal lobectomy: long-term seizure outcome, late recurrence and risks for seizure recurrence. Brain 127:2018-2030. Tassi L, Colombo N, Garbelli R, Francione S, Lo Russo G, Mai R, Cardinale F, Cossu M, Ferrario A, Galli C, Bramerio M, Citterio A, Spreafico R. (2002) Focal cortical dysplasia: neuropathological subtypes, EEG, neuroimaging and surgical outcome. Brain 125:1719-1732. Tellez-Zenteno JF, Hernandez Ronquillo L, Moien-Afshari F, Wiebe S. (2010) Surgical outcomes in lesional and non-lesional epilepsy: a systematic review and meta-analysis. Epilepsy Res 89:310-318. Wieser HG, Blume WT, Fish D, Goldensohn E, Hufnagel A, King D, Sperling MR, Luders H, Pedley TA. (2001) ILAE commission report. Proposal for a new classification of outcome with respect to epileptic seizures following epilepsy surgery. Epilepsia 42:282-286. Janszky J, Pannek HW, Fogarasi A, Bone B, Schulz R, Behne F, Ebner A. (2006) Prognostic factors for surgery of neocortical temporal lobe epilepsy. Seizure 15:125-132. Shirbin CA, McIntosh AM, Wilson SJ. (2009) The experience of seizures after epilepsy surgery. Epilepsy Behav 16:82-85. Kim YH, Kang HC, Kim DS, Kim SH, Shim KW, Kim HD, Lee JS. (2011) Neuroimaging in identifying focal cortical dysplasia and prognostic factors in pediatric and adolescent epilepsy surgery. Epilepsia 52:722-727. Lawson JA, Birchansky S, Pacheco E, Jayakar P, Resnick TJ, Dean P, Duchowny MS. (2005) Distinct clinicopathologic subtypes of cortical dysplasia of Taylor. Neurology 64:55-61. Elsharkawy AE, Pannek H, Schulz R, Hoppe M, Pahs G, Gyimesi C, Nayel M, Issa A, Ebner A. (2008b) Outcome of extratemporal epilepsy surgery experience of a single center. Neurosurgery 63:516-525; discussion 525-526. Barkovich AJ, Kuzniecky RI, Bollen AW, Grant PE. (1997) Focal transmantle dysplasia: a specific malformation of cortical development. Neurology 49:1148-1152. Elsharkawy AE, Alabbasi AH, Pannek H, Schulz R, Hoppe M, Pahs G, Nayel M, Issa A, Ebner A. (2008a) Outcome of frontal lobe epilepsy surgery in adults. Epilepsy Res 81:97-106. Blumcke I, Thom M, Aronica E, Armstrong DD, Vinters HV, Palmini A, Jacques TS, Avanzini G, Barkovich AJ, Battaglia G, Becker A, Cepeda C, Cendes F, Colombo N, Crino P, Cross JH, Delalande O, Dubeau F, Duncan J, Guerrini R, Kahane P, Mathern G, Najm I, Ozkara C, Raybaud C, Represa A, Roper SN, Salamon N, Schulze-Bonhage A, Tassi L, Vezzani A, Spreafico R. (2011) The clinicopathologic spectrum of focal cortical dysplasias: a consensus classification proposed by an ad hoc Task Force of the ILAE Diagnostic Methods Commission. Epilepsia 52:158-174. Kral T, Clusmann H, Blumcke I, Fimmers R, Ostertun B, Kurthen M, Schramm J. (2003) Outcome of epilepsy surgery in focal cortical dysplasia. J Neurol Neurosurg Psychiatry 74:183-188. Tracy JI, Dechant V, Sperling MR, Cho R, Glosser D. (2007) The association of mood with quality of life ratings in epilepsy. Neurology 68:1101-1107. Jehi L, Sarkis R, Bingaman W, Kotagal P, Najm I. (2010) When is a postoperative seizure equivalent to "epilepsy recurrence" after epilepsy surgery? Epilepsia 51:994-1003. Tezer FI, Akalan N, Oguz KK, Karabulut E, Dericioglu N, Ciger A, Saygi S. (2008) Predictive factors for postoperative outcome in temporal lobe epilepsy according to two different classifications. Seizure 17:549-560. 2004; 127 2000; 27 2008b; 63 2006; 15 2008; 17 2011; 52 2005; 64 1997; 49 2008a; 81 2003; 74 2007; 78 1996; 37 2001; 42 2006; 113 2010; 89 1998; 39 2009; 50 2006; 66 2002; 125 2007; 130 2002; 43 2006; 47 2005; 128 2009; 16 2007; 68 2010; 51 2005; 57 2003; 44 e_1_2_7_6_1 e_1_2_7_5_1 e_1_2_7_4_1 e_1_2_7_3_1 e_1_2_7_9_1 e_1_2_7_8_1 e_1_2_7_7_1 e_1_2_7_19_1 e_1_2_7_18_1 e_1_2_7_17_1 e_1_2_7_16_1 e_1_2_7_2_1 e_1_2_7_15_1 e_1_2_7_14_1 e_1_2_7_13_1 e_1_2_7_12_1 e_1_2_7_11_1 e_1_2_7_10_1 e_1_2_7_26_1 e_1_2_7_27_1 e_1_2_7_28_1 e_1_2_7_29_1 e_1_2_7_30_1 e_1_2_7_25_1 e_1_2_7_31_1 e_1_2_7_24_1 e_1_2_7_32_1 e_1_2_7_23_1 e_1_2_7_33_1 e_1_2_7_22_1 e_1_2_7_34_1 e_1_2_7_21_1 e_1_2_7_35_1 e_1_2_7_20_1 e_1_2_7_36_1 |
| References_xml | – reference: Jehi L, Sarkis R, Bingaman W, Kotagal P, Najm I. (2010) When is a postoperative seizure equivalent to "epilepsy recurrence" after epilepsy surgery? Epilepsia 51:994-1003. – reference: Kim DW, Kim HK, Lee SK, Chu K, Chung CK. (2010) Extent of neocortical resection and surgical outcome of epilepsy: intracranial EEG analysis. Epilepsia 51:1010-1017. – reference: Janszky J, Pannek HW, Fogarasi A, Bone B, Schulz R, Behne F, Ebner A. (2006) Prognostic factors for surgery of neocortical temporal lobe epilepsy. Seizure 15:125-132. – reference: Siegel AM, Cascino GD, Meyer FB, Marsh WR, Scheithauer BW, Sharbrough FW. (2006) Surgical outcome and predictive factors in adult patients with intractable epilepsy and focal cortical dysplasia. Acta Neurol Scand 113:65-71. – reference: Tracy JI, Dechant V, Sperling MR, Cho R, Glosser D. (2007) The association of mood with quality of life ratings in epilepsy. Neurology 68:1101-1107. – reference: Barkovich AJ, Kuzniecky RI, Bollen AW, Grant PE. (1997) Focal transmantle dysplasia: a specific malformation of cortical development. Neurology 49:1148-1152. – reference: Mani J, Gupta A, Mascha E, Lachhwani D, Prakash K, Bingaman W, Wyllie E. (2006) Postoperative seizures after extratemporal resections and hemispherectomy in pediatric epilepsy. Neurology 66:1038-1043. – reference: Wagner J, Urbach H, Niehusmann P, von Lehe M, Elger CE, Wellmer J. (2011) Focal cortical dysplasia type IIb: completeness of cortical, not subcortical, resection is necessary for seizure freedom. Epilepsia 52:1418-1424. – reference: Radhakrishnan K, So EL, Silbert PL, Cascino GD, Marsh WR, Cha RH, O'Brien PC. (2003) Prognostic implications of seizure recurrence in the first year after anterior temporal lobectomy. Epilepsia 44:77-80. – reference: Park K, Buchhalter J, McClelland R, Raffel C. (2002) Frequency and significance of acute postoperative seizures following epilepsy surgery in children and adolescents. Epilepsia 43:874-881. – reference: Jehi LE, O'Dwyer R, Najm I, Alexopoulos A, Bingaman W. (2009) A longitudinal study of surgical outcome and its determinants following posterior cortex epilepsy surgery. Epilepsia 50:2040-2052. – reference: McIntosh AM, Wilson SJ, Berkovic SF. (2001) Seizure outcome after temporal lobectomy: current research practice and findings. Epilepsia 42:1288-1307. – reference: Elsharkawy AE, Pannek H, Schulz R, Hoppe M, Pahs G, Gyimesi C, Nayel M, Issa A, Ebner A. (2008b) Outcome of extratemporal epilepsy surgery experience of a single center. Neurosurgery 63:516-525; discussion 525-526. – reference: Yun CH, Lee SK, Lee SY, Kim KK, Jeong SW, Chung CK. (2006) Prognostic factors in neocortical epilepsy surgery: multivariate analysis. Epilepsia 47:574-579. – reference: Tezer FI, Akalan N, Oguz KK, Karabulut E, Dericioglu N, Ciger A, Saygi S. (2008) Predictive factors for postoperative outcome in temporal lobe epilepsy according to two different classifications. Seizure 17:549-560. – reference: Derry PA, Wiebe S. (2000) Psychological adjustment to success and to failure following epilepsy surgery. Can J Neurol Sci 27(Suppl. 1):S116-S120; discussion S121-125. – reference: Tellez-Zenteno JF, Hernandez Ronquillo L, Moien-Afshari F, Wiebe S. (2010) Surgical outcomes in lesional and non-lesional epilepsy: a systematic review and meta-analysis. Epilepsy Res 89:310-318. – reference: Elsharkawy AE, Alabbasi AH, Pannek H, Schulz R, Hoppe M, Pahs G, Nayel M, Issa A, Ebner A. (2008a) Outcome of frontal lobe epilepsy surgery in adults. Epilepsy Res 81:97-106. – reference: Kral T, von Lehe M, Podlogar M, Clusmann H, Sussmann P, Kurthen M, Becker A, Urbach H, Schramm J. (2007) Focal cortical dysplasia: long-term seizure outcome after surgical treatment. J Neurol Neurosurg Psychiatry 78:853-856. – reference: Wieser HG, Blume WT, Fish D, Goldensohn E, Hufnagel A, King D, Sperling MR, Luders H, Pedley TA. (2001) ILAE commission report. Proposal for a new classification of outcome with respect to epileptic seizures following epilepsy surgery. Epilepsia 42:282-286. – reference: Buckingham SE, Chervoneva I, Sharan A, Zangaladze A, Mintzer S, Skidmore C, Nei M, Evans J, Pequignot E, Sperling MR. (2010) Latency to first seizure after temporal lobectomy predicts long-term outcome. Epilepsia 51:1987-1993. – reference: Rosenow F, Luders HO, Dinner DS, Prayson RA, Mascha E, Wolgamuth BR, Comair YG, Bennett G. (1998) Histopathological correlates of epileptogenicity as expressed by electrocorticographic spiking and seizure frequency. Epilepsia 39:850-856. – reference: Tassi L, Colombo N, Garbelli R, Francione S, Lo Russo G, Mai R, Cardinale F, Cossu M, Ferrario A, Galli C, Bramerio M, Citterio A, Spreafico R. (2002) Focal cortical dysplasia: neuropathological subtypes, EEG, neuroimaging and surgical outcome. Brain 125:1719-1732. – reference: Blumcke I, Thom M, Aronica E, Armstrong DD, Vinters HV, Palmini A, Jacques TS, Avanzini G, Barkovich AJ, Battaglia G, Becker A, Cepeda C, Cendes F, Colombo N, Crino P, Cross JH, Delalande O, Dubeau F, Duncan J, Guerrini R, Kahane P, Mathern G, Najm I, Ozkara C, Raybaud C, Represa A, Roper SN, Salamon N, Schulze-Bonhage A, Tassi L, Vezzani A, Spreafico R. (2011) The clinicopathologic spectrum of focal cortical dysplasias: a consensus classification proposed by an ad hoc Task Force of the ILAE Diagnostic Methods Commission. Epilepsia 52:158-174. – reference: Tellez-Zenteno JF, Dhar R, Wiebe S. (2005) Long-term seizure outcomes following epilepsy surgery: a systematic review and meta-analysis. Brain 128:1188-1198. – reference: Lee JJ, Lee SK, Lee SY, Park KI, Kim DW, Lee DS, Chung CK, Nam HW. (2008) Frontal lobe epilepsy: clinical characteristics, surgical outcomes and diagnostic modalities. Seizure 17:514-523. – reference: Shirbin CA, McIntosh AM, Wilson SJ. (2009) The experience of seizures after epilepsy surgery. Epilepsy Behav 16:82-85. – reference: Jeha LE, Najm I, Bingaman W, Dinner D, Widdess-Walsh P, Luders H. (2007) Surgical outcome and prognostic factors of frontal lobe epilepsy surgery. Brain 130:574-584. – reference: Fauser S, Schulze-Bonhage A, Honegger J, Carmona H, Huppertz HJ, Pantazis G, Rona S, Bast T, Strobl K, Steinhoff BJ, Korinthenberg R, Rating D, Volk B, Zentner J. (2004) Focal cortical dysplasias: surgical outcome in 67 patients in relation to histological subtypes and dual pathology. Brain 127:2406-2418. – reference: Kim YH, Kang HC, Kim DS, Kim SH, Shim KW, Kim HD, Lee JS. (2011) Neuroimaging in identifying focal cortical dysplasia and prognostic factors in pediatric and adolescent epilepsy surgery. Epilepsia 52:722-727. – reference: Lawson JA, Birchansky S, Pacheco E, Jayakar P, Resnick TJ, Dean P, Duchowny MS. (2005) Distinct clinicopathologic subtypes of cortical dysplasia of Taylor. Neurology 64:55-61. – reference: Zentner J, Hufnagel A, Ostertun B, Wolf HK, Behrens E, Campos MG, Solymosi L, Elger CE, Wiestler OD, Schramm J. (1996) Surgical treatment of extratemporal epilepsy: clinical, radiologic, and histopathologic findings in 60 patients. Epilepsia 37:1072-1080. – reference: McIntosh AM, Kalnins RM, Mitchell LA, Berkovic SF. (2005) Early seizures after temporal lobectomy predict subsequent seizure recurrence. Ann Neurol 57:283-288. – reference: Kral T, Clusmann H, Blumcke I, Fimmers R, Ostertun B, Kurthen M, Schramm J. (2003) Outcome of epilepsy surgery in focal cortical dysplasia. J Neurol Neurosurg Psychiatry 74:183-188. – reference: McIntosh AM, Kalnins RM, Mitchell LA, Fabinyi GC, Briellmann RS, Berkovic SF. (2004) Temporal lobectomy: long-term seizure outcome, late recurrence and risks for seizure recurrence. Brain 127:2018-2030. – volume: 127 start-page: 2406 year: 2004 end-page: 2418 article-title: Focal cortical dysplasias: surgical outcome in 67 patients in relation to histological subtypes and dual pathology publication-title: Brain – volume: 78 start-page: 853 year: 2007 end-page: 856 article-title: Focal cortical dysplasia: long‐term seizure outcome after surgical treatment publication-title: J Neurol Neurosurg Psychiatry – volume: 42 start-page: 1288 year: 2001 end-page: 1307 article-title: Seizure outcome after temporal lobectomy: current research practice and findings publication-title: Epilepsia – volume: 17 start-page: 549 year: 2008 end-page: 560 article-title: Predictive factors for postoperative outcome in temporal lobe epilepsy according to two different classifications publication-title: Seizure – volume: 15 start-page: 125 year: 2006 end-page: 132 article-title: Prognostic factors for surgery of neocortical temporal lobe epilepsy publication-title: Seizure – volume: 63 start-page: 516 year: 2008b end-page: 525 article-title: Outcome of extratemporal epilepsy surgery experience of a single center publication-title: Neurosurgery – volume: 49 start-page: 1148 year: 1997 end-page: 1152 article-title: Focal transmantle dysplasia: a specific malformation of cortical development publication-title: Neurology – volume: 130 start-page: 574 year: 2007 end-page: 584 article-title: Surgical outcome and prognostic factors of frontal lobe epilepsy surgery publication-title: Brain – volume: 51 start-page: 1987 year: 2010 end-page: 1993 article-title: Latency to first seizure after temporal lobectomy predicts long‐term outcome publication-title: Epilepsia – volume: 27 start-page: S116 issue: Suppl. 1 year: 2000 end-page: S120 article-title: Psychological adjustment to success and to failure following epilepsy surgery publication-title: Can J Neurol Sci – volume: 44 start-page: 77 year: 2003 end-page: 80 article-title: Prognostic implications of seizure recurrence in the first year after anterior temporal lobectomy publication-title: Epilepsia – volume: 127 start-page: 2018 year: 2004 end-page: 2030 article-title: Temporal lobectomy: long‐term seizure outcome, late recurrence and risks for seizure recurrence publication-title: Brain – volume: 81 start-page: 97 year: 2008a end-page: 106 article-title: Outcome of frontal lobe epilepsy surgery in adults publication-title: Epilepsy Res – volume: 52 start-page: 1418 year: 2011 end-page: 1424 article-title: Focal cortical dysplasia type IIb: completeness of cortical, not subcortical, resection is necessary for seizure freedom publication-title: Epilepsia – volume: 64 start-page: 55 year: 2005 end-page: 61 article-title: Distinct clinicopathologic subtypes of cortical dysplasia of Taylor publication-title: Neurology – volume: 39 start-page: 850 year: 1998 end-page: 856 article-title: Histopathological correlates of epileptogenicity as expressed by electrocorticographic spiking and seizure frequency publication-title: Epilepsia – volume: 125 start-page: 1719 year: 2002 end-page: 1732 article-title: Focal cortical dysplasia: neuropathological subtypes, EEG, neuroimaging and surgical outcome publication-title: Brain – volume: 51 start-page: 1010 year: 2010 end-page: 1017 article-title: Extent of neocortical resection and surgical outcome of epilepsy: intracranial EEG analysis publication-title: Epilepsia – volume: 128 start-page: 1188 year: 2005 end-page: 1198 article-title: Long‐term seizure outcomes following epilepsy surgery: a systematic review and meta‐analysis publication-title: Brain – volume: 52 start-page: 158 year: 2011 end-page: 174 article-title: The clinicopathologic spectrum of focal cortical dysplasias: a consensus classification proposed by an ad hoc Task Force of the ILAE Diagnostic Methods Commission publication-title: Epilepsia – volume: 17 start-page: 514 year: 2008 end-page: 523 article-title: Frontal lobe epilepsy: clinical characteristics, surgical outcomes and diagnostic modalities publication-title: Seizure – volume: 74 start-page: 183 year: 2003 end-page: 188 article-title: Outcome of epilepsy surgery in focal cortical dysplasia publication-title: J Neurol Neurosurg Psychiatry – volume: 57 start-page: 283 year: 2005 end-page: 288 article-title: Early seizures after temporal lobectomy predict subsequent seizure recurrence publication-title: Ann Neurol – volume: 37 start-page: 1072 year: 1996 end-page: 1080 article-title: Surgical treatment of extratemporal epilepsy: clinical, radiologic, and histopathologic findings in 60 patients publication-title: Epilepsia – volume: 89 start-page: 310 year: 2010 end-page: 318 article-title: Surgical outcomes in lesional and non‐lesional epilepsy: a systematic review and meta‐analysis publication-title: Epilepsy Res – volume: 43 start-page: 874 year: 2002 end-page: 881 article-title: Frequency and significance of acute postoperative seizures following epilepsy surgery in children and adolescents publication-title: Epilepsia – volume: 51 start-page: 994 year: 2010 end-page: 1003 article-title: When is a postoperative seizure equivalent to “epilepsy recurrence” after epilepsy surgery? publication-title: Epilepsia – volume: 52 start-page: 722 year: 2011 end-page: 727 article-title: Neuroimaging in identifying focal cortical dysplasia and prognostic factors in pediatric and adolescent epilepsy surgery publication-title: Epilepsia – volume: 47 start-page: 574 year: 2006 end-page: 579 article-title: Prognostic factors in neocortical epilepsy surgery: multivariate analysis publication-title: Epilepsia – volume: 113 start-page: 65 year: 2006 end-page: 71 article-title: Surgical outcome and predictive factors in adult patients with intractable epilepsy and focal cortical dysplasia publication-title: Acta Neurol Scand – volume: 50 start-page: 2040 year: 2009 end-page: 2052 article-title: A longitudinal study of surgical outcome and its determinants following posterior cortex epilepsy surgery publication-title: Epilepsia – volume: 66 start-page: 1038 year: 2006 end-page: 1043 article-title: Postoperative seizures after extratemporal resections and hemispherectomy in pediatric epilepsy publication-title: Neurology – volume: 16 start-page: 82 year: 2009 end-page: 85 article-title: The experience of seizures after epilepsy surgery publication-title: Epilepsy Behav – volume: 42 start-page: 282 year: 2001 end-page: 286 article-title: ILAE commission report. 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Purpose: We aimed to assess long‐term seizure outcome and risk factors for seizure recurrence in a cohort of patients who have undergone extratemporal... Purpose: We aimed to assess long‐term seizure outcome and risk factors for seizure recurrence in a cohort of patients who have undergone extratemporal... We aimed to assess long-term seizure outcome and risk factors for seizure recurrence in a cohort of patients who have undergone extratemporal resection for... Summary Purpose: We aimed to assess long-term seizure outcome and risk factors for seizure recurrence in a cohort of patients who have undergone extratemporal... |
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| SubjectTerms | Adolescent Adult Balloon cells Biological and medical sciences Child Child, Preschool Confidence intervals Electroencephalography Epilepsy Epilepsy - diagnosis Epilepsy - surgery Female Focal cortical dysplasia Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Longitudinal Studies Magnetic Resonance Imaging Male Medical sciences Multivariate Analysis Neighborhood seizures Nervous system (semeiology, syndromes) Neurology Neurosurgery - methods NMR Nuclear magnetic resonance Positron-Emission Tomography Postoperative Complications - physiopathology Recurrence Resection Retrospective Studies Risk Factors Seizures - etiology Surgery Treatment Outcome Tumors of the nervous system. Phacomatoses Young Adult |
| Title | Long-term seizure outcome and risk factors for recurrence after extratemporal epilepsy surgery |
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