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
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
收藏
页码:937 / 944
页数:8
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