Spectrum of surgical complications of temporal lobe epilepsy surgery: a single-center study

İpekdal, H. İlker; Karadaş, Ömer; Erdoğan, Ersin; Gökçil, Zeki

doi:10.5137/1019-5149.jtn.4003-10.0

Cited by 8 publications

(19 citation statements)

References 15 publications

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“…Anti-depressive treatment can improve depression, but the mood might worsen or fluctuate for more than one year without treatment. In 2011, the study by Ipekdal et al [53] also supported these findings. symptoms at the baseline, at 3 months and at 6 months.…”

Section: Manifestation Of Depression After Epilepsy Surgerysupporting

confidence: 73%

The comorbidity of epilepsy and depression: diagnosis and treatment

Tao

Wang

2016

Expert Review of Neurotherapeutics

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Depression can seriously affect the quality of life of epileptic patients and can even lead to suicide. Understanding the regularity, prevention and treatment of depression in patients with epilepsy (PWE) contributes to the improvement of their quality of life. Areas covered: In this paper, we retrospectively analyzed the relevant literature on the pathogenesis, related factors, clinical characteristics, diagnosis and treatment of depression in PWE. A literature search utilized the PubMed, Embase and Google Scholar databases. Expert commentary: PWE often have depression, which can be the result of seizures, antiepileptic drugs (AEDs) or social-demographic factors. It needs to be better understood, and the diagnosis should be more comprehensive for early treatment.

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Section: Manifestation Of Depression After Epilepsy Surgerysupporting

confidence: 73%

The comorbidity of epilepsy and depression: diagnosis and treatment

Tao

Wang

2016

Expert Review of Neurotherapeutics

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“…38 In retrospective studies and in those in which the method for data collection is not stated, complication rates are presented in the range of 0%-7.5% major and 5.6%-15.2% minor complications for any procedure, 8,9,23,28,31,36 and for TLRs there were 0%-7% major complications and 0%-21.8% minor complications. 5,6,18,19,23,26,29,30,34,36,37 In pediatric cohorts, 0%-14.6% major and 5.2%-19% minor complications are presented for various kinds of procedures. 3,4,7,20,33 In a systematic review of 76 studies in which different methodologies were used, Hader et † This includes 1 patient with thalamic infarction due to perforating artery injury, 1 patient with air embolism, and 1 patient with permanent postoperative anosmia.…”

Section: Discussionmentioning

confidence: 99%

Complications of epilepsy surgery in Sweden 1996–2010: a prospective, population-based study

Bjellvi

Flink

Rydenhag

et al. 2015

JNS

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OBJECT Detailed risk information is essential for presurgical patient counseling and surgical quality assessments in epilepsy surgery. This study was conducted to investigate major and minor complications related to epilepsy surgery in a large, prospective series. METHODS The Swedish National Epilepsy Surgery Register provides extensive population-based data on all patients who were surgically treated in Sweden since 1990. The authors have analyzed complication data for therapeutic epilepsy surgery procedures performed between 1996 and 2010. Complications are classified as major (affecting daily life and lasting longer than 3 months) or minor (resolving within 3 months). RESULTS A total of 865 therapeutic epilepsy surgery procedures were performed between 1996 and 2010, of which 158 were reoperations. There were no postoperative deaths. Major complications occurred in 26 procedures (3%), and minor complications in 65 (7.5%). In temporal lobe resections (n = 523), there were 15 major (2.9%) and 41 minor complications (7.8%); in extratemporal resections (n = 275) there were 9 major (3.3%) and 22 minor complications (8%); and in nonresective procedures (n = 67) there were 2 major (3%) and 2 minor complications (3%). The risk for any complication increased significantly with age (OR 1.26 per 10-year interval, 95% CI 1.09–1.45). Compared with previously published results from the same register, there is a trend toward lower complication rates, especially in patients older than 50 years. CONCLUSIONS This is the largest reported prospective series of complication data in epilepsy surgery. The complication rates comply well with published results from larger single centers, confirming that epilepsy surgery performed in the 6 Swedish centers is safe. Patient age should be taken into account when counseling patients before surgery.

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“…Pre-and postoperative neuropsychiatric assessment results were not included in this study. We did not observe any previously described complications related to SAH including infection, hemorrhagic infarct, cranial nerve palsies, subdural effusion, hemiparesis, or clinical psychiatric syndromes in our entire series (22). Mostly, verbal memory deficits following left-sided CAH and Other pathologies (n = 13) 10 1 2 spatial memory deficits following right-sided CAH have been reported (23).…”

Section: Discussionmentioning

confidence: 70%

Surgery for intractable temporal lobe epilepsy: experience of a single institution

Kurt¹,

Tönge²,

Çeltikçi³

et al. 2014

Turk J Med Sci

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Background/aim: In the treatment of epilepsy, encouraging results have been achieved with surgical treatment, especially for temporal lobe epilepsy (TLE). Drug resistance must be diagnosed as early as possible, because the ensuing seizures can be eliminated surgically via temporal lobe surgery in a high percentage (70%-90%) of patients. In this study we share our experience, in a single institution, of surgical treatment of intractable TLE. Materials and methods:Between March 2006 and November 2010 we performed 127 corticoamygdalohippocampectomy (CAH) procedures. All CAH surgical procedures were done as described by Niemeyer's technique. Resection lengths were 4-4.5 cm from the temporal pole.Results: At the end of 24 months, 79.7% (n = 94) patients were still on antiepileptic medications, with 55 of them on a decreased number or dose of drugs, and 20.3 (n = 24) patients were antiepileptic drug-free. Postoperative Engel's classes were 1, 2, and 3 in 87.2%, 5.08%, and 7.6%, respectively. There was no mortality in follow-up, and dysphasia in 1 patient (0.84%) was the only morbidity. Conclusion:In our series we found that the outcome of surgery is associated with careful patient selection, which requires a detailed investigation of the patients. Our final conclusion is that outcome scores are independent of age, pathology, or sex but are dependent on correct patient selection.

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Spectrum of surgical complications of temporal lobe epilepsy surgery: a single-center study

Abstract: The results of our study suggest the importance of post-operative care and long-term follow up in order to achieve favorable seizure outcome after epilepsy surgery.

Cited by 8 publications

References 15 publications

The comorbidity of epilepsy and depression: diagnosis and treatment

The comorbidity of epilepsy and depression: diagnosis and treatment

Complications of epilepsy surgery in Sweden 1996–2010: a prospective, population-based study

Surgery for intractable temporal lobe epilepsy: experience of a single institution

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