Abstract
We reviewed the medical records of all patients undergoing anterior temporal lobe surgery for intractable epilepsy from 1988-93 to compare the ictal semiology and operative outcome in patients with intractable partial epilepsy associated with medial or lateral temporal lobe lesions. Forty-one consecutive patients with magnetic resonance imaging (MRI) and pathologically identified temporal lobe lesions were divided into two groups based on lesion location: Group I (medial [n = 25]) and Group II (lateral [n = 16]). Complex partial seizures occurred in 92% of Group I and 94% of Group II (p > 0.05). Generalized tonic-clonic seizures occurred in 16% of Group I and 23% in Group II (p > 0.05). Auras were present in 76% of Group I and 56% of Group II (p > 0.05). The specific ictal behavior and interictal-ictal EEG findings were not significantly different in the two groups. The postoperative seizure-free rates were 80% in Group I and 88% in Group II (p > 0.05) and 83% for both groups combined. We found no differences in the ictal semiology of medial and lateral temporal lobe lesional epilepsy. Both groups experienced an excellent surgical outcome.
Original language | English (US) |
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Pages (from-to) | 298-302 |
Number of pages | 5 |
Journal | Journal of Epilepsy |
Volume | 10 |
Issue number | 6 |
DOIs | |
State | Published - 1997 |
Keywords
- Lesion
- Postoperative outcome
- Temporal lobe epilepsy
ASJC Scopus subject areas
- General Neuroscience
- Clinical Neurology