Volume : IX, Issue : II, February - 2019

SURGICAL OUTCOME OF REFRACTORY EXTRA TEMPORAL EPILEPSY SURGERY

Dr. P. Lakshminarayana, Dr. Suchanda Bhattacharjee

Abstract :

AIM: The aim of the study was to find surgical outcome for refractory extratemporal epilepsy and identify factors associated with prolonged postsurgical freedom from seizures. METHODS: In this prospective and retrospective cohort study, we included all refractory cases of focal, multifocal, non localized drug–resistant extratemporal epilepsy seizures occur the age between 3 to 28 years, from July 2015 to November 2017,all were treated surgically and followed up in a single tertiary care centre for mean follow up period of 12 months. RESULTS: There was total of 30 cases, 11 hemispherotomies, 2corpuscallosotomy,1 posterior quadrantectomy and 16 leisonectomy. Mean follow up of months of 14 months (range–8months to 26 months) in which 23/30(76.6%) cases are 100% seizure free Engel class–1 ,and 6/30 (20%) 75% reduction but all of the patients who underwent surgery have 100% satisfactory score of seizures occurrence. most of the patients pre operatively with 3–4 AED after surgery 12/30 are 1 drug, 2 AEDs are in 6 cases, 3AEDs in 6 cases and on 5 cases 4AEDs . Also a subjective significant improvement in cognition level was noticed in all these cases. CONCLUSION: surgical treatment ( epilepsy surgery) is effective in controlling seizures in both leisonal and nonleisonal extratemporal epilepsies, and the outcome after surgery exceeds the result of only AED treatment. Disconnection procedure is the best surgical option for non localized multi focal refractory seizures when localized to a lobe And corpus callosotomy when involved both lobes

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

SURGICAL OUTCOME OF REFRACTORY EXTRA TEMPORAL EPILEPSY SURGERY, Dr. P.Lakshminarayana, Dr. Suchanda Bhattacharjee INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-2 | February-2019

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