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 publicationStudy characteristicsNumber of ptsSurgical procedureMortalityMean followupSeizure-free outcomeComplicationsCumulative complication rate*Behavioral/
cognitive/
psychiatric
complications

Salanova et al.,
2002 [23]
Prospective215Temporal resective surgery0%7 years69%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]
Retrospective28ATL + AH3.5%N/AN/AN/A10.6%N/A

Tanriverdi et al.,
2009 [16]
Retrospective1232ATL + AH,
Selective AH
0%At least 1 yearN/ADysphasia: 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.

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