Cited by 275Epilepsy research and treatmentDiet and metabolism studiesDeep Brain Stimulation and Movement Disorders

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A lifetime psychiatric history predicts a worse seizure outcome following temporal lobectomy

Kanner, A. M., Byrne, R., Chicharro, A., Wuu, J., Frey, M.·2009·Neurology

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Abstract

PURPOSE: To identify the psychiatric and epilepsy variables predictive of postsurgical seizure outcome after anterotemporal lobectomy (ATL). METHODS: Retrospective study of 100 consecutive patients with temporal lobe epilepsy (TLE) who underwent ATL. The mean (+/- SD) follow-up period was 8.3 (+/- 3.1) years. Three types of surgical outcomes were examined at 2 years after surgery and at last contact: class IA (no disabling seizures no auras), class IA + IB (no disabling seizures), and class IA + IB + IC (no or rare disabling seizures in the first postsurgical year). Logistic regression analyses were performed separately for the three types of surgical outcomes. The epilepsy-related independent variables included age at onset, cause of TLE (mesial temporal sclerosis, lesional and cryptogenic TLE), extent of resection of mesial structures, neuropathologic abnormalities, having only complex partial seizures, and duration of the seizure disorder. The psychiatric independent variables included a postsurgical and presurgical lifetime history of mood, anxiety, attention deficit hyperactivity, and psychotic disorders. RESULTS: The absence of a psychiatric history was an independent predictor of all three types of surgical outcomes. In addition, a larger resection of mesial structures was a predictor for class IA outcome, and having only complex partial seizures (vs generalized tonic-clonic seizures) was a predictor for class IA + IB and IA + IB + IC. Having mesial temporal sclerosis (vs other causes of TLE) was a predictor for class IA + IB + IC as well. CONCLUSIONS: These data indicate that a lifetime psychiatric history may be predictive of a worse postsurgical seizure outcome after an anterotemporal lobectomy.

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Authors: Kanner, A. M., Byrne, R., Chicharro, A., Wuu, J., & Frey, M.
Affiliations: Rush University Medical Center (US)
ORCID: Kanner, A. M.
Byrne, R.
Wuu, J.
Venue: Neurology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2009-03-03
Volume: 72
Issue: 9
Pages: 793-799
ISSN: 0028-3878 (ISSN-L)
1526-632X
DOI: 10.1212/01.wnl.0000343850.85763.9c
OpenAlex: W2013841019
Cited by: 275
References: 17
Citations by year: 2026: 4 · 2025: 3 · 2024: 10 · 2023: 5 · 2022: 10 · 2021: 11 · 2020: 34 · 2019: 17 · 2018: 16 · 2017: 18 · 2016: 17 · 2015: 25 · 2014: 22 · 2013: 20 · 2012: 25
FWCI: 12.91
Type: journal article
Language: en
Open access: closed
Locations: Neurology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
Health Sciences › Medicine › Physiology (medical) › Diet and metabolism studies
Health Sciences › Medicine › Clinical Neurology › Deep Brain Stimulation and Movement Disorders
Keywords: temporal lobe epilepsy, seizure outcome, psychiatric history, mood disorders, anxiety disorders, attention deficit hyperactivity disorder, psychosis, hippocampal sclerosis, extent of resection, complex partial seizures, predictors of surgical outcome
MeSH terms: Adult, Mental Disorders, Epilepsy, Temporal Lobe, Female, Follow-Up Studies, Humans, Male, Middle Aged, Postoperative Complications, Predictive Value of Tests, Retrospective Studies, Seizures, Time Factors, Treatment Outcome, Anterior Temporal Lobectomy, Young Adult

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A lifetime psychiatric history predicts a worse seizure outcome following temporal lobectomy

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