Loading...
Please wait, while we are loading the content...
Similar Documents
P03.2 Trigeminal somatosensory evoked magnetic fields to tactile stimulation
| Content Provider | Semantic Scholar |
|---|---|
| Author | Ramstad, Raimo Nevalainen, Päivi Isotalo, Elina Lauronen, Leena |
| Copyright Year | 2006 |
| Abstract | Introduction: In the UK, between 800 and 1500 patients per year could benefit from epilepsy surgery. Ictal videoEEG telemetry plays a critical part in presurgical evaluation, but this is a highly specialist and expensive investigation and a limited resource with long waiting lists. Death rate in patients awaiting presurgical evaluation is 1% per year. At the National Hospital for Neurology and Neurosurgery (NHNN), London, cases with typical mesial temporal epilepsy (MTS) have been fast tracked to epilepsy surgery without ictal telemetry in order to shorten waiting lists and reduce morbidity and mortality. Aim: To evaluate fast tracking and compare surgical outcome of patients with MTS with and without ictal telemetry. Methods: We retrospectively reviewed the pre-operative investigations and the post-operative outcome in the patients operated between January 2002 and January 2005 for temporal lobe surgery at NHNN with follow up for at least 1 year. Patients were considered suitable for fast tracking if they had MRI identified unilateral MTS, concordant interictal EEG, seizure semiology, psychometry and no psychiatric contraindication. Results: There were 81 cases of temporal lobe surgery of whom 60 had unilateral MTS (34 left, 26 males, age mean 36y). 5/60 were considered suitable for fast tracking. Postoperative outcome (seizure control) in the ictal telemetry group was good (grade 1–2) in 70%, improved (grade 34) in 24% and poor (grade 5–6) in 3%. Outcome in the fast-track patients was good in 4/5 and poor in 1/5. There were no differences in age, laterality of MTS and outcome between the two groups. Conclusion: Only a small proportion of patients with MTS were identified as suitable for fast tracking to surgery in this tertiary centre. Although numbers are small the results do not provide evidence for a worse outcome in patients without telemetry suggesting that fast tracking MTS patients can be considered when pre-operative data are concordant. |
| Starting Page | 13 |
| Ending Page | 14 |
| Page Count | 2 |
| File Format | PDF HTM / HTML |
| DOI | 10.1016/j.clinph.2006.06.209 |
| Volume Number | 117 |
| Alternate Webpage(s) | https://api.elsevier.com/content/article/pii/S1388245706004706 |
| Alternate Webpage(s) | https://www.sciencedirect.com/science/article/pii/S1388245706004706?dgcid=api_sd_search-api-endpoint |
| Alternate Webpage(s) | https://doi.org/10.1016/j.clinph.2006.06.209 |
| Journal | Clinical Neurophysiology |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
