INVESTIGADORES
D`ALESSIO Luciana
congresos y reuniones científicas
Título:
Temporal lobe epilepsy: results of the surgery with limited resources in two centers of argentina
Autor/es:
. SILVA W, GIOBELLINA R, CONSALVO D, SOLIS P, SALGADO P, GIAGANTE B, ODDO S, ABATEDAGA V, D`ALESSIO L, CENTURION E, SAIDON P, RABADAN A, VAZQUEZ R, SEOANE E, KOCHEN S.
Lugar:
Boston
Reunión:
Congreso; Annual Meeting of the American Epilepsy Society; 2003
Institución organizadora:
Annual Meeting of the American Epilepsy Society
Resumen:
Rationale: Surgical treatment seems to be the best option for patients with refractory symptomatic temporal lobe epilepsy (TLE). The aim of this study was to analyse the surgical results of two epilepsy centers of Argentine operated between October 1996 to March 2002. Methods: We selected 42 patients who were operated on because of a diagnosis of medically intractable TLE and who had ¡Ý 1 year of postsurgical follow-up. All the patients were evaluated using a multidisciplinary approach that include a complete medical and neurological history, outpatients EEG, MRI of the brain, and Video-EEG. Neuropsychological tests were performed in 37 (88%) and intracarotid amobarbital test in only one patient. Seizure outcome was assessed using Engel `s classification. Results: There were 24 females and 18 males; mean age 35 years. In 40 patients, an anterior temporal lobectomy (ATL) was performed and in two patients a lesionectomy was done. Twenty ¨Csix patients were operated on the right side and 16 on the left side. The histopathologic findings showed a low grade tumor in 6 patients, hippocampal sclerosis in 30 patients and dual pathology in 2. The mean follow ¨Cup period was 2.5 years (range, 1-4). Thirty two patients (78%) were in class I, four patients in class II, four in class III, and two in class IV. Conclusions: Our results showed a postoperative outcome comparable with series of developed countries. The number of patients that were operated on during the period of analysis was significantly lower than the potential candidates. This finding is of great significance for the creation of epilepsy surgery programs in developing countries.