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  • Title: [Analysis of factors influencing the prediction of surgical treatment for symptomatic temporal lobe epilepsy].
    Author: Stepanenko AIu, Arkhipova NA, Pronin IN, Lubnin AIu, Buklina SB, Shishkina LV, Kozlova AB, Bukharin EIu.
    Journal: Zh Vopr Neirokhir Im N N Burdenko; 2006; (2):22-6; discussion 26. PubMed ID: 16827425.
    Abstract:
    The results of treatment were analyzed in 37 patients with drug-resistant symptomatic temporal lobe epilepsy among whom there were 22 patients with low-grade intracellular tumors, 2 with cavernomas; 6 with cortical malformations, and 9 with residual organic lesions. Double pathology was noted in 4 patients. Mono- and multiregional lesions were observed in 30 cases. Removal of the site of lesion, extended medial resections, and temporal lobectomy were performed in 7, 5, and 25 cases, respectively. There was an association of the quality of outcomes with the scope of an intervention: the best results were achieved when the affected area with adjacent cortical portions was completely removed within the eliptogenic area. Resections for multiregional lesions are low effective.
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