Late seizure recurrence after multiple subpial transections

被引：17

作者：

Orbach, D

Romanelli, P

Devinsky, O

Doyle, W

机构：

[1] NYU, Mt Sinai Comprehens Epilepsy Ctr, Sch Med, Dept Neurol, New York, NY 10016 USA

[2] NYU, Sch Med, Dept Neurosurg, New York, NY 10016 USA

来源：

EPILEPSIA | 2001年 / 42卷 / 09期

关键词：

intractable seizures; epilepsy surgery; multiple subpial transections; resection;

D O I：

10.1046/j.1528-1157.2001.45300.x

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We studied long-term outcome (range, 28-89 months; mean, 56 months) after multiple subpial transections (MST) for medically refractory epilepsy. Forty-three (79.6%) of 54 patients had a consistent significant reduction in seizure frequency, and 27 (50%) of the 54 were either entirely seizure free or virtually so. However, 10 (18.5%) patients sustained an increase in seizure frequency several years after surgery, after showing initial postoperative improvement. This suggests that late seizure recurrence is a more important problem in cases in which MST has been performed than for pure resections.

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收藏

页码：1130 / 1133

页数：4

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