Electrocorticography and temporal lobe epilepsy: Relationship to quantitative MRI and operative outcome

Gregory D Cascino, M. R. Trenerry, Clifford R Jr. Jack, David William Dodick, F. W. Sharbrough, E. L. So, T. D. Lagerlund, C. Shin, W. R. Marsh

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Abstract

We investigated the relationship between electrocorticography (ECoG), quantitative magnetic resonance imaging (MRI), and surgical outcome in 165 patients with intractable nonlesional temporal lobe epilepsy (NLTLE). A standard mesial temporal resection was per formed in all patients. Patients with an operative follow-up <1 year were excluded from the study. The extent of the lateral temporal neocortex resection (LCR) was guided by ECoG and the side of surgery. The extent of the LCR was not predictive of seizure outcome in patients with or without hippocampal formation atrophy (p > 0.5). Patients undergoing a right anterior temporallobectomy had a larger LCR (p < 0.0001), but the side of surgery was not of predictive value in determining seizure outcome (p > 0.1). The topography of the acute intracranial spikes did not correlate with operative outcome (p > 0.5) and was independent of hippocampal volumetric studies (p > 0.5). The postexcision ECoG was also shown not to be of prognostic importance (p > 0.5). Our results indicates that the extent of the lateral temporal cortical resection and the ECoG findings are not important determinants of surgical outcome in patients with NLTLE.

Original languageEnglish (US)
Pages (from-to)692-696
Number of pages5
JournalEpilepsia
Volume36
Issue number7
DOIs
StatePublished - 1995

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Keywords

  • Electrocorticography
  • Epilepsy surgery
  • Magnetic resonance imaging

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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