Shorter epilepsy duration is associated with better seizure outcome in temporal lobe epilepsy surgery / Curta duração de epilepsia está associada à melhor controle de crises na cirurgia de epilepsia do lobo temporal
Meguins, Lucas Crociati; Adry, Rodrigo Antônio Rocha da Cruz; Silva-Junior, Sebastião Carlos da; Araújo Filho, Gerardo Maria de; Marques, Lúcia Helena Neves.
Arq. neuropsiquiatr
; 73(3): 212-217, 03/2015. tab, graf
Artículo
en Inglés
| LILACS | ID: lil-741199
Objective To investigate the influence of patient’s age and seizure onset on surgical outcome of temporal lobe epilepsy (TLE). Method A retrospective observational investigation performed from a cohort of patients from 2000 to 2012. Results A total of 229 patients were included. One-hundred and eleven of 179 patients (62%) were classified as Engel I in the group with < 50 years old, whereas 33 of 50 (66%) in the group with ≥ 50 years old group (p = 0.82). From those Engel I, 88 (61%) reported epilepsy duration inferior to 10 years and 56 (39%) superior to 10 years (p < 0.01). From the total of patients not seizure free, 36 (42%) reported epilepsy duration inferior to 10 years and 49 (58%) superior to 10 years (p < 0.01). Conclusion Patients with shorter duration of epilepsy before surgery had better postoperative seizure control than patients with longer duration of seizures. .
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