AI Article Synopsis
- Temporal lobe epilepsy is the most common type of focal epilepsy, and surgical treatment, specifically anterior temporal lobe resection, is both effective and generally safe, though complications can occur.
- In a study of 53 patients, the overall complication rate was 19%, with surgical complications at 13.2% and neurological complications at 5.8%; notably, there were no persistent complications or deaths reported.
- While anterior temporal lobe resection is a reliable option, neurosurgeons must communicate potential risks effectively to candidates, emphasizing the importance of personal skill over reliance on modern technology.
Article Abstract
Background: Temporal lobe epilepsy is the most common form of focal epilepsy, and surgical treatment has been proven to be an effective and safe management. Despite its safety, it is important to know that some complications and/or even death can be seen after surgery. Neurosurgeons should be able to precisely inform epilepsy surgery candidates about the possible unwanted/unexpected conditions after surgery.
Methods: Fifty-three patients who underwent anterior temporal lobe resection due to temporal lobe epilepsy by a single surgeon were investigated retrospectively regarding postoperative surgical and neurological complications.
Results: Overall complication rate was found to be 19%, surgical complications comprised 13.2% whereas neurological complications were 5.8%. Three patients underwent a second surgery whereas the rest had medical treatment or recovered spontaneously. Fortunately persistent complication rate was found to be 0%, and there was no mortality.
Conclusions: Anterior temporal lobe resection is a safe and very effective surgical modality for the treatment of temporal lobe epilepsy. However, unexpected complications may be possible in this modern era and a surgeon should trust in him/herself not in modern equipments.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057172 | PMC |
| http://dx.doi.org/10.4103/sni.sni_99_18 | DOI Listing |
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