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Predictors of Epileptic Seizures and Ability to Work in Supratentorial Cavernous Angioma Located Within Eloquent Brain Areas
- Source :
- Neurosurgery, Neurosurgery, Lippincott, Williams & Wilkins, 2019, 85 (4), pp.E702-E713. ⟨10.1093/neuros/nyz063⟩, Zanello, M, Goodden, J R, Colle, H, Wager, M, Hamer, P C D W, Smits, A, Bello, L, Tate, M, Spena, G, Bresson, D, Capelle, L, Robles, S G, Sarubbo, S, Rydenhag, B, Martino, J, Meyer, B, Fontaine, D, Reyns, N, Schichor, C, Metellus, P, Colle, D, Robert, E, Noens, B, Muller, P, Rossi, M, Nibali, M C, Papagno, C, Galbarritu, L, de Gopegui, E R, Chioffi, F, Bucheli, C, Krieg, S M, Wostrack, M, Yusupov, N, Visser, V, Baaijen, J C, Roux, A, Dezamis, E, Mandonnet, E, Corns, R, Duffau, H & Pallud, J 2019, ' Predictors of Epileptic Seizures and Ability to Work in Supratentorial Cavernous Angioma Located Within Eloquent Brain Areas ', Neurosurgery, vol. 85, no. 4, pp. E702-E713 . https://doi.org/10.1093/neuros/nyz063, Neurosurgery, 85(4), E702-E713. Lippincott Williams and Wilkins
- Publication Year :
- 2019
- Publisher :
- HAL CCSD, 2019.
-
Abstract
- BACKGROUND: The postoperative outcomes and the predictors of seizure control are poorly studied for supratentorial cavernous angiomas (CA) within or close to the eloquent brain area. OBJECTIVE: To assess the predictors of preoperative seizure control, postoperative seizure control, and postoperative ability to work, and the safety of the surgery. METHODS: Multicenter international retrospective cohort analysis of adult patients benefitting from a functional-based surgical resection with intraoperative functional brain mapping for a supratentorial CA within or close to eloquent brain areas. RESULTS: A total of 109 patients (66.1% women; mean age 38.4 ± 12.5 yr), were studied. Age >38 yr (odds ratio [OR], 7.33; 95% confidence interval [CI], 1.53-35.19; P =. 013) and time to surgery > 12 mo (OR, 18.21; 95% CI, 1.11-296.55; P =. 042) are independent predictors of uncontrolled seizures at the time of surgery. Focal deficit (OR, 10.25; 95% CI, 3.16-33.28; P
- Subjects :
- Adult
Male
medicine.medical_specialty
Internationality
Return to work
Eloquent Brain Areas
Intraoperative brain mapping
[SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery
Preoperative care
Brain mapping
Angioma
Cohort Studies
03 medical and health sciences
Epilepsy
0302 clinical medicine
Predictive Value of Tests
Seizures
medicine
Humans
Karnofsky Performance Status
Retrospective Studies
Outcome
Brain Mapping
business.industry
Brain Neoplasms
Cavernous angioma
Retrospective cohort study
Odds ratio
Middle Aged
medicine.disease
Seizure
Surgery
Hemangioma, Cavernous
030220 oncology & carcinogenesis
Hemosiderin
Female
[SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]
Neurology (clinical)
business
030217 neurology & neurosurgery
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 0148396X
- Database :
- OpenAIRE
- Journal :
- Neurosurgery, Neurosurgery, Lippincott, Williams & Wilkins, 2019, 85 (4), pp.E702-E713. ⟨10.1093/neuros/nyz063⟩, Zanello, M, Goodden, J R, Colle, H, Wager, M, Hamer, P C D W, Smits, A, Bello, L, Tate, M, Spena, G, Bresson, D, Capelle, L, Robles, S G, Sarubbo, S, Rydenhag, B, Martino, J, Meyer, B, Fontaine, D, Reyns, N, Schichor, C, Metellus, P, Colle, D, Robert, E, Noens, B, Muller, P, Rossi, M, Nibali, M C, Papagno, C, Galbarritu, L, de Gopegui, E R, Chioffi, F, Bucheli, C, Krieg, S M, Wostrack, M, Yusupov, N, Visser, V, Baaijen, J C, Roux, A, Dezamis, E, Mandonnet, E, Corns, R, Duffau, H & Pallud, J 2019, ' Predictors of Epileptic Seizures and Ability to Work in Supratentorial Cavernous Angioma Located Within Eloquent Brain Areas ', Neurosurgery, vol. 85, no. 4, pp. E702-E713 . https://doi.org/10.1093/neuros/nyz063, Neurosurgery, 85(4), E702-E713. Lippincott Williams and Wilkins
- Accession number :
- edsair.doi.dedup.....1c9bb6f503959b3a53c2d44c77d54957