An outcome analysis of seventeen patients treated surgically for intractable extratemporal epilepsy
Mulholland, D.; Ali, Z.; Delanty, N.; Shahwan, A.; O'Brien, D.F.
Irish Medical Journal 103(7): 211-213
2010
ISSN/ISBN: 0332-3102 PMID: 20845601 Document Number: 641765
We studied the outcomes of seventeen patients treated surgically for extratemporal lobe epilepsy. A retrospective case review of medical charts was performed. Seizure freedom post surgery was appraised using the Engel classification system. Post-operatively seven patients (41%) were seizure free (Engel class I), four patients were class II (23.5%), two in class III (11.76%) and four in class IV (23.5%). Three patients (17.6%) suffered traumatic injuries due to seizures. The mean duration of epilepsy prior to surgery was 12.2 years and the mean number of anti-epileptic medications given was 6.5. Seizure freedom rates for surgical treatment of extratemporal epilepsy in this centre are similar to those of other centres. Post-operative morbidity in this centre was similar to other centres. Any complications resolved with no lasting impairment.