Outcomes after laser interstitial thermal ablation for temporal lobe epilepsy: a systematic review and meta-analysis

被引:12
作者
Alomar, Soha A. [1 ]
Moshref, Rana H. [1 ]
Moshref, Leena H. [1 ]
Sabbagh, Abdulrahman J. [1 ]
机构
[1] King Abdulaziz Univ, Fac Med, Dept Surg, Div Neurosurg, Jeddah 22254, Saudi Arabia
关键词
Epilepsy; Temporal lobe; Laser interstitial thermal therapy; LITT; Cognitive outcome; Seizure freedom; VISUAL-FIELD DEFICITS; NEUROPSYCHOLOGICAL OUTCOMES; COGNITIVE OUTCOMES; THERAPY LITT; SURGERY; LOBECTOMY; MEMORY; SCLEROSIS; HISTORY; RECALL;
D O I
10.1007/s10143-023-02164-4
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Epilepsy is a common condition that affects approximately 1% of the world's population, with about one-third being refractory epilepsy. Temporal lobe epilepsy is the most common type of drug-resistant epilepsy, and laser interstitial thermal therapy (LITT) is an innovative treatment. In this systematic review and meta-analysis, we aimed to summarize the current evidence on outcomes after LITT, including seizure freedom rate, complication rate, and neurocognitive outcome. PubMed and OVID Medline search engines were systematically searched for all indexed publications in the English language up to July15, 2023. The search was limited to human studies. Proportions and 95% confidence interval (CI) values were calculated for seizure, neurocognitive outcome, and complication rate. A total of 836 patients were included. Overall seizure outcomes, regardless of the pathology, included Engel I outcome in 56% (95% CI, 52.4-59.5%), Engel II outcome in 19.2% (95% CI, 15.4-23.6%), Engel III outcome in 17.3% (95% CI, 13.5-21.8%), and Engel IV outcome in 10.5% (95% CI 6.3-17%) of the patients. The overall decline in verbal and visual memory regardless of laterality was 24.2 (95% CI 8.6-52%) and 25.2% (8.3-55.8%). For naming, the decline was 13.4% (6.6-25.4%). The results of the pooled analysis in comparison with available data in the literature showed that seizure outcomes after LITT were slightly inferior to published data after temporal lobectomy. Data on cognitive outcomes after LITT are scarce and heterogeneous.
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页数:14
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共 56 条
[1]   Neuroimaging and cognitive functions in temporal lobe epilepsy: A review of the literature [J].
Allone, Cettina ;
Lo Buono, Viviana ;
Corallo, Francesco ;
Pisani, Laura Rosa ;
Pollicino, Patrizia ;
Bramanti, Placido ;
Marino, Silvia .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2017, 381 :7-15
[2]   History of surgery for temporal lobe epilepsy [J].
Asadi-Pooya, Ali A. ;
Rostami, Cyrus .
EPILEPSY & BEHAVIOR, 2017, 70 :57-60
[3]   Anterior temporal lobectomy compared with laser thermal hippocampectomy for mesial temporal epilepsy: A threshold analysis study [J].
Attiah, Mark A. ;
Paulo, Danika L. ;
Danish, Shabbar F. ;
Stein, Sherman C. ;
Mani, Ram .
EPILEPSY RESEARCH, 2015, 115 :1-7
[4]   Neuropsychological outcomes in epilepsy surgery patients with unilateral hippocampal sclerosis and good preoperative memory function [J].
Baxendale, Sallie ;
Thompson, Pamela J. ;
Sander, Josemir W. .
EPILEPSIA, 2013, 54 (09) :e131-e134
[5]   The natural history and prognosis of epilepsy [J].
Beghi, Ettore ;
Giussani, Giorgia ;
Sander, Josemir W. .
EPILEPTIC DISORDERS, 2015, 17 (03) :243-253
[6]   A neurosurgeon's view: Laser interstitial thermal therapy of mesial temporal lobe structures [J].
Bezchlibnyk, Yarema B. ;
Willie, Jon T. ;
Gross, Robert E. .
EPILEPSY RESEARCH, 2018, 142 :135-139
[7]   Magnetic Resonance-Guided Laser Interstitial Thermal Therapy for Mesial Temporal Epilepsy: A Case Series Analysis of Outcomes and Complications at 2-Year Follow-Up [J].
Cajigas, Iahn ;
Kanne, Andres M. ;
Ribot, Ramses ;
Casabella, Amanda M. ;
Mahavadi, Anil ;
Jermakowicz, Walter ;
Sur, Samir ;
Millan, Carlos ;
Saporta, Anita ;
Lowe, Merredith ;
Velez-Ruiz, Naymee ;
Rey, Gustavo ;
Ibrahim, George M. ;
Ivan, Michael E. ;
Jagid, Jonathan R. .
WORLD NEUROSURGERY, 2019, 126 :E1121-E1129
[8]   Intraoperative electrocorticography during laser-interstitial thermal therapy predicts seizure outcome in mesial temporal lobe epilepsy [J].
Chen, Baibing ;
Grewal, Sanjeet S. ;
Middlebrooks, Erik H. ;
Tatum, William O. ;
Ritaccio, Anthony L. ;
Sirven, Joseph I. ;
Freund, Brin E. ;
Feyissa, Anteneh M. .
CLINICAL NEUROPHYSIOLOGY, 2023, 146 :118-123
[9]   Epilepsy surgery in patients older than 50 years: Effectiveness, safety, and predictors of outcome [J].
d' Orio, Piergiorgio ;
Pelliccia, Veronica ;
Gozzo, Francesca ;
Cardinale, Francesco ;
Castana, Laura ;
Lo Russo, Giorgio ;
Bottini, Gabriella ;
Scarpa, Pina ;
Cossu, Massimo .
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2017, 50 :60-66
[10]   Laser ablation for mesial temporal lobe epilepsy: Surgical and cognitive outcomes with and without mesial temporal sclerosis [J].
Donos, Cristian ;
Breier, Joshua ;
Friedman, Elliott ;
Rollo, Patrick ;
Johnson, Jessica ;
Moss, Lauren ;
Thompson, Stephen ;
Thomas, Melissa ;
Hope, Omotola ;
Slater, Jeremy ;
Tandon, Nitin .
EPILEPSIA, 2018, 59 (07) :1421-1432