1987NeurologyRequires access

Intractable complex partial seizures

Lavinia Williams, Elizabeth Thompson, Darrell V. Lewis

Open publisher page 8 citations

Abstract

Complex partial seizures (CPSs) beginning with an initial motionless stare (IMS) have been reported to respond well to temporal lobectomy. CPSs without the IMS or with early lateralizing motor phenomena often persisted after temporal lobectomy. We have studied video-EEG-recorded seizures of 18 patients with depth electrodes who then underwent temporal lobectomy. The IMS did not correlate with success or failure of surgery. However, initial head and/or eye deviation was correlated with poor surgical outcome.

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What this paper is about

Complex partial seizures (CPSs) beginning with an initial motionless stare (IMS) have been reported to respond well to temporal lobectomy. CPSs without the IMS or with early lateralizing motor phenomena often persisted after temporal lobectomy. We have studied video-EEG-recorded seizures of 18 patients with depth electrodes who then underwent temporal lobectomy. The IMS did not correlate with success or failure of surgery. However, initial head and/or eye deviation was correlated with poor surgical outcome.

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Available abstract

Complex partial seizures (CPSs) beginning with an initial motionless stare (IMS) have been reported to respond well to temporal lobectomy. CPSs without the IMS or with early lateralizing motor phenomena often persisted after temporal lobectomy. We have studied video-EEG-recorded seizures of 18 patients with depth electrodes who then underwent temporal lobectomy. The IMS did not correlate with success or failure of surgery. However, initial head and/or eye deviation was correlated with poor surgical outcome.

Key concepts: Complex partial seizures, Temporal lobectomy, Anterior temporal lobectomy, Electroencephalography, Medicine, partial seizures, Epilepsy, Psychology

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