Turkish Neurosurgery
Surgical Outcome of Young and Adult Patients with Temporal Lobe Epilepsy Related to Hippocampal Sclerosis in Modern Era
Semih Can Cetintas1, Tufan Agah Kartum1, Taha Sukru Korkmaz1, Rahsan Kemerdere1, Seher Naz Yeni2, Taner Tanriverdi1
1Istanbul University - Cerrahpasa, Cerrahpasa Medical Faculty, Department of Neurosurgery, Istanbul,
2Istanbul University - Cerrahpasa, Cerrahpasa Medical Faculty, Department of Neurology, Istanbul,
DOI: 10.5137/1019-5149.JTN.34458-21.2
Aim:To evaluate pre-operative, operative and post-operative measures between young and adult patients who underwent surgery on temporal lobe epilepsy related to hippocampal sclerosis (TLE-HS).Material and Methods:This retrospective study included prospectively registered-data from 2010 through 2020. Clinical, electrophysiological, pathological and post-operative outcome were evaluated and compared. Seizure outcome was classified into two: continuous seizure-free (even without aura) since surgery and relapsed.Results:Sixteen young and 48 adult patients with TLE-HS were included. Clinical, electrophysiological, pathological measures, and post-operative measures were similar. Seizure outcome was not significantly different (p = 0.38). The significant proportions of patients in both groups were satisfied with the results of surgery.Conclusion:Surgery on TLE-HS is very effective in young patients as in adults. Furthermore, clinical, radiological, and pathological measures are similar in young compared to adult patients with TLE-HS.
Corresponding author : Semih Can Cetintas