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

The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.

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
DOI 10.1212/01.wnl.0000343850.85763.9c
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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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Crossref · 10.1212/01.wnl.0000343850.85763.9c

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Research works printed but not linked: 2

  1. Wyler AR, Hermann BP, Somes G. Extent of medial temporal resection on outcome from anterior temporal lobectomy: a randomized prospective study. Neurosurgery 1997;1:327–328.
  2. Kanner AM. Current review in clinical science: depression in epilepsy—a neurobiologic perspective. Epilepsy Curr 2005;5:21–27.

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Metadata

Authors
Kanner, A. M., Byrne, R., Chicharro, A., Wuu, J., & Frey, M.
Affiliations
Rush University Medical Center (US)
ORCID
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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