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.