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Clinical outcome after complete or partial cortical resection for intractable epilepsy
Abstract
This is the first epilepsy surgery series to analyze the definition of "completeness" of resection, based solely on results of chronic scalp and subdural EEG recording. When patients had complete removal of all cortical areas with ictal and interictal epileptiform discharges, the clinical outcome was usually good. When areas with epileptiform discharges were left behind, good outcome was significantly less frequent. This correlation between complete resection and good outcome was independent of the presence or absence of CT-detected structural lesions or sharp waves on post-resection electrocorticography. These results support completeness of resection, defined by prolonged extraoperative EEG, as an important factor in seizure surgery.
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Citations
Cited by
Interictal spikes in focal epileptogenesis
de Curtis, M., & Avanzini, G. (2001) · Progress in Neurobiology · doi:10.1016/s0301-0082(00)00026-5 · Cited by 477
Surgical and Neurological Complications in a Series of 708 Epilepsy Surgery Procedures
Behrens, E., Schramm, J., Zentner, J., & König, R. (1997) · Neurosurgery · doi:10.1097/00006123-199707000-00004 · Cited by 294
Intraoperative ElectroCorticoGraphy (ECog): indications, techniques, and utility in epilepsy surgery
Yang, T., Hakimian, S., & Schwartz, T. H. (2014) · Epileptic Disorders · doi:10.1684/epd.2014.0675 · Cited by 113
Metadata
- Authors
- Wyllie, E., Lüders, H., Morris, H. H., Lesser, R. P., Dinner, D. S., Hahn, J., Estes, M. L., Rothner, A. D., Erenberg, G., Cruse, R., & Friedman, D.
- Venue
- Neurology
- Published
- 1987-10
- Volume
- 37
- Issue
- 10
- Pages
- 1634-1634
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W2079514156
- Cited by
- 175
- References
- 0
- FWCI
- 4.09
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Clinical outcome after complete or partial cortical resection for intractable epilepsy. https://app.cochat.ai/papers/10.1212/wnl.37.10.1634
- The paper
- Wyllie, E., Lüders, H., Morris, H. H., Lesser, R. P., Dinner, D. S., Hahn, J., Estes, M. L., Rothner, A. D., Erenberg, G., Cruse, R., & Friedman, D. (1987). Clinical outcome after complete or partial cortical resection for intractable epilepsy. Neurology. https://doi.org/10.1212/wnl.37.10.1634
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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