Back to Search
Start Over
Outcome of bipolar electrocoagulation with lesionectomy in the treatment of epilepsy involving eloquent areas.
- Source :
-
Stereotactic and functional neurosurgery [Stereotact Funct Neurosurg] 2015; Vol. 93 (1), pp. 1-9. Date of Electronic Publication: 2014 Dec 09. - Publication Year :
- 2015
-
Abstract
- Background/aims: We have demonstrated previously that bipolar electrocoagulation on functional cortex (BCFC) is a safe and effective approach for epilepsy involving eloquent areas. Here, we report the results of BCFC with lesionectomy for patients with epileptogenic foci partially overlapping eloquent areas.<br />Methods: Forty patients who had been treated with lesionectomy with BCFC were retrospectively reviewed with regard to seizure outcome and neurological deficits. Ten similar patients who had received lesionectomy with multiple subpial transections (MST) were examined as a control group.<br />Results: In the lesionectomy group with BCFC, Engel class I was achieved in 18 (45%) patients, class II in 8 (20%) patients, class III in 8 (20%) patients and class IV in 6 (15%) patients. Five (12.5%) patients developed mild hemiparesis and 1 (2.5%) patient mild sensory dysphasia. In the lesionectomy group with MST, Engel class I was achieved in 3 (30%) patients, class II in 2 (20%) patients, class III in 3 (30%) patients and class IV in 2 (20%) patients. Two (20%) patients developed mild hemiparesis and 1 (10%) patient moderate hemiparesis. All these complications recovered within 1-12 months.<br />Conclusions: Compared with MST, the outcome of BCFC with lesionectomy is similar. But since MST leads to mechanical injury, while BCFC causes thermal injury, the complications of BCFC seem less severe.<br /> (© 2014 S. Karger AG, Basel.)
- Subjects :
- Adolescent
Adult
Aphasia etiology
Brain Mapping
Broca Area physiopathology
Broca Area surgery
Child
Electrocoagulation adverse effects
Electroencephalography
Epilepsies, Partial surgery
Epilepsy, Generalized surgery
Female
Follow-Up Studies
Humans
Male
Motor Cortex physiopathology
Neurosurgical Procedures adverse effects
Paresis etiology
Postoperative Complications etiology
Recovery of Function
Retrospective Studies
Severity of Illness Index
Somatosensory Cortex physiopathology
Wernicke Area physiopathology
Wernicke Area surgery
Young Adult
Drug Resistant Epilepsy surgery
Electrocoagulation methods
Motor Cortex surgery
Neurosurgical Procedures methods
Somatosensory Cortex surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1423-0372
- Volume :
- 93
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Stereotactic and functional neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 25501674
- Full Text :
- https://doi.org/10.1159/000363146