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] | 1997 | 5 | 100 | 2-year seizure freedom | ATL | 58% |
Spencer et al. [20] | 2005 | 5 | 339 | Seizure freedom ± auras for 2 years | AMTL | 69% |
Jeong et al. [21] | 2005 | 5 | 227 | Engel I | ATL | 75% |
Urbach et al. [22] | 2004 | 2 | 209 | Engel IA | SAH | 73% |
Wiebe et al. [14] | 2001 | 1 | 80 | Freedom from seizures that impair awareness | ATL | 58% |
Mihara et al. [23] | 1996 | 5 | 132 | Engel I | ATL or SAH | 70% |
Zentner et al. [24] | 1995 | 3 | 178 | Engel I | ATL or SAH | 62% |
Sperling et al. [25] | 1996 | 5 | 89 | Engel I | ATL | 70% |
Wieser et al. [26] | 2001 | 7 | 369 | Engel I | SAH | 62% at 5-year follow-up |
McIntosh et al. [27] | 2004 | 10 | 325 | Engel I | ATL | 41% |
Paglioli et al. [28] | 2004 | 5 | 135 | Engel IA | ATL or SAH | 74% at 5-year follow-up |
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ATL: anterior temporal lobectomy, AMTL: anteromedial temporal lobectomy, SAH: selective amygdalohippocampectomy, Engel: Engel’s classification for seizure outcome after surgery.
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