A 13-year experience with epilepsy surgery

Joseph R. Smith, M. R. Lee, P. D. Jenkins, D. W. King, Anthony M Murro, Yong D Park, Gregory P Lee, K. J. Meador, D. W. Loring

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Between 1985 and 1997, 563 therapeutic craniotomies were performed: 311 anterior temporal (ATL) and 158 extramesial temporal (XMT) resections, 67 callosotomies, 20 hemispherectomies and 7 multiple subpial transections. Sixty-seven percent of nonlesional ATL cases were seizure free (SF), and 76% of nonlesional ATL cases ≤ 18 years old were SF. Seventy-eight percent of lesional ATL cases with complete resection were SF. Seventy-three percent of lesional cases ≤ 18 were SF. Thirty-seven percent of nonlesional XMT cases were SF. Seventy percent of XMT lesional cases with complete resection were SF, and 82% of lesional XMT cases ≤ 18 were SF. Of the anterior callosotomy cases, there was a ≥ 90% decrease in generalized tonic-clonic seizures in 50% of patients, and in tonic seizures, drop attacks, absence and myoclonic seizures in approximately 60-70% of patients. Of 20 hemispherectomies, 65% were SF. Of 7 multiple subpial transections, 29% were SF. Copyright (C) 2000 S. Karger AG, Basel.

Original languageEnglish (US)
Pages (from-to)98-103
Number of pages6
JournalStereotactic and Functional Neurosurgery
Volume73
Issue number1-4
DOIs
StatePublished - Jan 1 1999

Fingerprint

Epilepsy
Seizures
Hemispherectomy
Absence Epilepsy
Craniotomy
Syncope

Keywords

  • Ablative surgery
  • Depth electrodes
  • Disconnective surgery
  • Drug-resistant focal epilepsy
  • Subdural electrodes

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Smith, J. R., Lee, M. R., Jenkins, P. D., King, D. W., Murro, A. M., Park, Y. D., ... Loring, D. W. (1999). A 13-year experience with epilepsy surgery. Stereotactic and Functional Neurosurgery, 73(1-4), 98-103. https://doi.org/10.1159/000029763

A 13-year experience with epilepsy surgery. / Smith, Joseph R.; Lee, M. R.; Jenkins, P. D.; King, D. W.; Murro, Anthony M; Park, Yong D; Lee, Gregory P; Meador, K. J.; Loring, D. W.

In: Stereotactic and Functional Neurosurgery, Vol. 73, No. 1-4, 01.01.1999, p. 98-103.

Research output: Contribution to journalArticle

Smith, JR, Lee, MR, Jenkins, PD, King, DW, Murro, AM, Park, YD, Lee, GP, Meador, KJ & Loring, DW 1999, 'A 13-year experience with epilepsy surgery', Stereotactic and Functional Neurosurgery, vol. 73, no. 1-4, pp. 98-103. https://doi.org/10.1159/000029763
Smith, Joseph R. ; Lee, M. R. ; Jenkins, P. D. ; King, D. W. ; Murro, Anthony M ; Park, Yong D ; Lee, Gregory P ; Meador, K. J. ; Loring, D. W. / A 13-year experience with epilepsy surgery. In: Stereotactic and Functional Neurosurgery. 1999 ; Vol. 73, No. 1-4. pp. 98-103.
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