Epilepsy Research and Treatment / 2013 / Article / Tab 2 / Review Article
Temporal Lobe Resective Surgery for Medically Intractable Epilepsy: A Review of Complications and Side Effects Table 2 Synopsis of data of mixed pediatric and adult temporal lobe epilepsy surgical series and their reported surgical complications.
Series/year of publication Study characteristics Number of pts Surgical procedure Mortality Mean followup Seizure-free outcome Complications Cumulative complication rate* Behavioral/ cognitive/ psychiatric complications Salanova et al., 2002 [23 ] Prospective 215 Temporal resective surgery 0% 7 years 69% Dysphasia: 3.7% Hemiparesis: 0.9% C.N. palsy: 3.2% VFDs: 0.4% Infection: 1.3% 26.1% Verbal memory deficits: 8.8% Depression: 5.5% Psychosis: 2.3% Lee et al., 2008 [22 ] Retrospective 28 ATL + AH 3.5% N/A N/A N/A 10.6% N/A Tanriverdi et al., 2009 [16 ] Retrospective 1232 ATL + AH, Selective AH 0% At least 1 year N/A Dysphasia: 0.6% Hemiparesis: 0.1% C.N. palsy: 0.3% VFDs: 0.2% Infection: 0.5% Hematomas: 0.6% Hydrocephalus: 0.1% Subgaleal Collections: 0.4% CSF Leakage: 0.1% Suture Detachment: 0.1% 3.8% N/A
This rate includes the behavioral/cognitive/psychiatric complications. ATL: anterior temporal lobectomy; AH: amygdalohippocampectomy; VFDs: visual field deficits; C.N.: cranial nerve.