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01.08.2014 | Clinical Article - Functional

Long-term seizure outcome after stereotactic amygdalohippocampectomy

verfasst von: Zdeněk Vojtěch, Hana Malíková, Lenka Krámská, Jiří Anýž, Martin Syrůček, Josef Zámečník, Roman Liščák, Vilibald Vladyka

Erschienen in: Acta Neurochirurgica | Ausgabe 8/2014

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Abstract

Background

The aim of the study was to evaluate the long-term seizure outcome and complications after stereotactic radiofrequency amygdalohippocampectomy (SAHE) performed for mesial temporal lobe epilepsy (MTLE).

Methods

The article describes the cases of 61 patients who were treated at our institution during the period 2004–2010. Mean post-operative follow-up was 5.3 years.

Results

At the last postsurgical visit, 43 (70.5 %) patients were Engel Class I, six (9.8 %) Class II, nine (14.8 %) Class III and three (4.9 %) Class IV. The surgery was complicated by four intracranial haematomas. One of them caused acute hydrocephalus and was treated by shunting and resolved without sequelae. After SAHE, we performed open epilepsy surgery and re-thermo lesions in three and two patients, respectively (8.2 %). There were two cases of meningitis which required antibiotic treatment. In six patients psychiatric disorders developed and one of these committed suicide due to postoperative depression.

Conclusions

Our results provide preliminary evidence for good long-term seizure outcomes after SAHE. SAHE could be an alternative therapy for MTLE.

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Titel: Long-term seizure outcome after stereotactic amygdalohippocampectomy
verfasst von: Zdeněk Vojtěch
Hana Malíková
Lenka Krámská
Jiří Anýž
Martin Syrůček
Josef Zámečník
Roman Liščák
Vilibald Vladyka
Publikationsdatum: 01.08.2014
Verlag: Springer Vienna
Erschienen in: Acta Neurochirurgica / Ausgabe 8/2014
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-014-2126-5

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Abstract

Background

Methods

Results

Conclusions

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