Review Article

Surgical Techniques for the Treatment of Temporal Lobe Epilepsy

Table 2

Summary of the surgical outcome from selected studies.

Author Year of publication Follow-up period (years) Number of patients Outcome measure Type of surgery Percentage of best outcome

Blume and Girvin [19]199751002-year seizure freedomATL58%
Spencer et al. [20]20055339Seizure freedom ± auras for 2 yearsAMTL69%
Jeong et al. [21]20055227Engel IATL75%
Urbach et al. [22]20042209Engel IASAH73%
Wiebe et al. [14]2001180Freedom from seizures that impair awarenessATL58%
Mihara et al. [23]19965132Engel IATL or SAH70%
Zentner et al. [24]19953178Engel IATL or SAH62%
Sperling et al. [25]1996589Engel IATL70%
Wieser et al. [26]20017369Engel ISAH62% at 5-year follow-up
McIntosh et al. [27]200410325Engel IATL41%
Paglioli et al. [28]20045135Engel IAATL or SAH74% at 5-year follow-up

ATL: anterior temporal lobectomy, AMTL: anteromedial temporal lobectomy, SAH: selective amygdalohippocampectomy, Engel: Engel’s classification for seizure outcome after surgery.