Outcome of intracranial electroencephalography monitoring and surgery in magnetic resonance imaging-negative temporal lobe epilepsy

被引：22

作者：

Lee, Ricky W. ^{[1
]}

Hoogs, Marietta M. ^{[3
]}

Burkholder, David B. ^{[1
]}

Trenerry, Max R. ^{[3
]}

Drazkowski, Joseph F. ^{[5
]}

Shih, Jerry J. ^{[6
]}

Doll, Karey E. ^{[6
]}

Tatum, William O. ^{[6
]}

Cascino, Gregory D. ^{[1
]}

Marsh, W. Richard ^{[4
]}

Wirrell, Elaine C. ^{[1
]}

Worrell, Gregory A. ^{[1
,2
]}

So, Elson L. ^{[1
]}

机构：

[1] Mayo Clin, Dept Neurol, Rochester, MN 55905 USA

[2] Mayo Clin, Dept Physiol & Biomed Engn, Rochester, MN 55905 USA

[3] Mayo Clin, Dept Psychiat & Psychol, Rochester, MN 55905 USA

[4] Mayo Clin, Dept Neurol Surg, Rochester, MN 55905 USA

[5] Mayo Clin Hosp, Dept Neurol, Phoenix, AZ USA

[6] Mayo Clin, Dept Neurol, Jacksonville, FL 32224 USA

来源：

EPILEPSY RESEARCH | 2014年 / 108卷 / 05期

关键词：

Epilepsy surgery; Intracranial electroencephalography; Normal magnetic resonance imaging; RESISTANT PARTIAL EPILEPSY; SUBDURAL GRID ELECTRODES; INTRAOPERATIVE ELECTROCORTICOGRAPHY; NORMAL MRI; ICTAL EEG; PRESURGICAL EVALUATION; HIPPOCAMPAL ATROPHY; PREOPERATIVE MRI; SEIZURE-FREE; SCLEROSIS;

D O I：

10.1016/j.eplepsyres.2014.03.013

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We evaluated the outcomes of intracranial electroencephalography (iEEG) recording and subsequent resective surgery in patients with magnetic resonance imaging (MRI)negative temporal lobe epilepsy (TLE). Thirty-two patients were identified from the Mayo Clinic Epilepsy Surgery Database (Arizona, Florida, and Minnesota). Eight (25.0%) had chronic iEEG monitoring that recorded neocortical temporal seizure onsets; 12 (37.5%) had mesial temporal seizure onsets; 5 (15.6%) had independent neocortical and mesial temporal seizure onsets; and 7 (21.9%) had simultaneous neocortical and mesial seizure onsets. Neocortical temporal lobe seizure semiology was the only factor significantly associated with neocortical temporal seizure onsets on iEEG. Only 33.3% of patients who underwent lateral temporal neocorticectomy had an Engel class 1 outcome, whereas 76.5% of patients with iEEG-guided anterior temporal lobectomy that included the amygdala and the hippocampus had an Engel class 1 outcome. Limitations in cohort size precluded statistical analysis of neuropsychological test data. (C) 2014 Elsevier B.V. All rights reserved.

引用

页码：937 / 944

页数：8

共 44 条

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