caa a22 4500 467921822 CHVBK 20180406152919.0 cr unu---uuuuu 170328e20060201xx s 000 0 ger 10.1007/s10309-006-0160-x doi (NATIONALLICENCE)springer-10.1007/s10309-006-0160-x Ergebnisse von Nachoperationen bei 12 Patienten mit Temporallappenepilepsie bei mesialer temporaler Sklerose [Elektronische Daten] [Reinhard Schulz, Matthias Hoppe, Frank Boesebeck, Doerthe Heinemann, Heinz Pannek, Theodor May, Alois Ebner] Analysis of reoperation of 12 patients with temporal lobe epilepsy and mesial temporal lobe sclerosis Incomplete resection of mesial temporal lobe structures entails reoperation in a small number of patients with mesial temporal sclerosis (MTS) who had no satisfactory outcome after initial surgery for temporal lobe epilepsy (TLE). We analyzed 12 consecutive patients with MTS (follow-up 14 to 71 months, mean 42.4) by evaluating noninvasive EEG/video monitoring before the first and second surgery (interictal epileptiform discharges—IED, ictal EEG, semiology) and MRI (resection index after the first and second surgery of amygdala, hippocampus, lateral temporal lobe). Five of 12 patients became seizure free. Recurrence of seizures could be predicted by: 1) ictal EEG with propagation to the contralateral temporal lobe (0 of 5 patients seizure free versus 5 of 7 patients; p=0.028); 2) quantity of lateral temporal lobe resection in the second surgery (1.06±0.59 cm versus 2.18±1.37 cm; p=0.037). No significant correlation was found for lateralization of IED, change of semiology, other resection indices, begin and duration of epilepsy, duration of follow-up, and side of surgery. Patients have a less favorable outcome if they show ictal scalp EEG with contralateral propagation and if they had already undergone an extended first resection of the lateral temporal lobe. Steinkopff-Verlag, 2006 Mesial temporal lobe epilepsy nationallicence epilepsy surgery nationallicence reoperation nationallicence bitemporal epilepsy nationallicence Mesiale Temporallappenepilepsie nationallicence Epilepsiechirurgie nationallicence Nachoperation nationallicence bitemporale Epilepsie nationallicence Schulz Reinhard Epilepsiezentrum Bethel, Maraweg 21, 33617, Bielefeld, Germany aut Hoppe Matthias Epilepsiezentrum Bethel, Maraweg 21, 33617, Bielefeld, Germany aut Boesebeck Frank Universitätsklinik Münster, Münster aut Heinemann Doerthe Epilepsiezentrum Bethel, Maraweg 21, 33617, Bielefeld, Germany aut Pannek Heinz Epilepsiezentrum Bethel, Maraweg 21, 33617, Bielefeld, Germany aut May Theodor Gesellschaft für Epilepsieforschung, Maraweg 21, 33617, Bielefeld, Germany aut Ebner Alois Epilepsiezentrum Bethel, Maraweg 21, 33617, Bielefeld, Germany aut Zeitschrift für Epileptologie Steinkopff-Verlag 19/1(2006-02-01), 11-20 1617-6782 19:1<11 2006 19 10309 https://doi.org/10.1007/s10309-006-0160-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10309-006-0160-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Schulz Reinhard Epilepsiezentrum Bethel, Maraweg 21, 33617, Bielefeld, Germany aut NATIONALLICENCE 700 1- Hoppe Matthias Epilepsiezentrum Bethel, Maraweg 21, 33617, Bielefeld, Germany aut NATIONALLICENCE 700 1- Boesebeck Frank Universitätsklinik Münster, Münster aut NATIONALLICENCE 700 1- Heinemann Doerthe Epilepsiezentrum Bethel, Maraweg 21, 33617, Bielefeld, Germany aut NATIONALLICENCE 700 1- Pannek Heinz Epilepsiezentrum Bethel, Maraweg 21, 33617, Bielefeld, Germany aut NATIONALLICENCE 700 1- May Theodor Gesellschaft für Epilepsieforschung, Maraweg 21, 33617, Bielefeld, Germany aut NATIONALLICENCE 700 1- Ebner Alois Epilepsiezentrum Bethel, Maraweg 21, 33617, Bielefeld, Germany aut NATIONALLICENCE 773 0- Zeitschrift für Epileptologie Steinkopff-Verlag 19/1(2006-02-01), 11-20 1617-6782 19:1<11 2006 19 10309 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer