2013
DOI: 10.1227/neu.0000000000000120
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Seizure Types and Frequency in Patients Who “Fail” Temporal Lobectomy for Intractable Epilepsy

Abstract: Given important clinical and mechanistic differences between seizures with or without impairment of consciousness, seizure type and frequency remain important considerations in epilepsy surgery.

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Cited by 36 publications
(34 citation statements)
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“…This epilepsy syndrome often presents itself with a combination of different seizure types, including auras, complex partial seizures and tonic-clonic seizures. Among these seizure types, tonic-clonic seizures pose more risks (e.g., injury or death) to the patients [1][2][3][4][5][6] . No prior study has been done to investigate potential risk factors associated with experiencing tonicclonic seizures in patients with MTS-TLE.…”
Section: Discussionmentioning
confidence: 99%
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“…This epilepsy syndrome often presents itself with a combination of different seizure types, including auras, complex partial seizures and tonic-clonic seizures. Among these seizure types, tonic-clonic seizures pose more risks (e.g., injury or death) to the patients [1][2][3][4][5][6] . No prior study has been done to investigate potential risk factors associated with experiencing tonicclonic seizures in patients with MTS-TLE.…”
Section: Discussionmentioning
confidence: 99%
“…Mesial temporal sclerosis (MTS) is the most common pathological substrate of TLE 3 . Complex partial seizures are the most common seizure type observed in patients with TLE; however, other seizure types including simple partial seizures (i.e., auras) and tonic-clonic seizures are also commonly observed in these patients 4 . Among these seizure types, tonic-clonic seizures are more significant because they are more often associated with morbidity (e.g., severe injuries 5 ) and even mortality (e.g., sudden unexpected death in epilepsy 6 ).…”
Section: Introductionmentioning
confidence: 99%
“…In temporal lobe epilepsy (TLE), for example, anterior temporal lobectomy (ATL) has consistently been shown to produce excellent seizure outcomes, particularly in patients with mesial temporal sclerosis (MTS). This has been demonstrated in both randomized controlled trials as well as long-term longitudinal cohort studies [13]. There is a remarkable concordance across studies, with 60–80% of patients achieving seizure freedom at 1–2 years after surgery, and about 50% of individuals experience durable seizure freedom at 10 years [46].…”
Section: Introductionmentioning
confidence: 87%
“…Successful epilepsy surgery depends critically on accurate delineation of the epileptogenic zone (EZ), resulting in seizure freedom in approximately two-thirds of patients with temporal lobe epilepsy (TLE) and one-half of individuals with extra-temporal lobe epilepsy (ETLE) (Englot et al, 2013; Englot et al, 2014; Spencer and Huh, 2008). Electroencephalography (EEG) and magnetoencephalography (MEG) are valuable clinical tools for localizing interictal spike activity related to the EZ, but other abnormal rhythms are also often observed.…”
Section: Introductionmentioning
confidence: 99%