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Lesionectomy for Temporal Lobe Lesion Can Results in Reduced Need of Antiepileptic Drugs.

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Last updated: 27 Dec 2024

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Abstract

Background: Seizure outcomes after laminectomy have been proven to be equivalent to excision, which ablates the epileptogenic cortex with the lesion. Different forms of resection surgery, as well as temporal lobectomy, are being investigated as therapeutic options for people with focal epilepsy who have not responded to medication. The median seizure-freedom rate following temporal lobectomy for mesial temporal sclerosis is 70%, with extra-temporal resections and patients with non-lesional epilepsy having a somewhat lower rate. Although seizure control is the primary goal of epilepsy surgery, lowering or quitting antiepileptic medications (AEDs) following epilepsy surgery is also an essential goal for patients and epileptologists. CASE REPORT: We described a thirteen-year-old female who had suffered from headaches and multiple bouts of complex partial seizures for three years before undergoing surgery for a well-circumscribed lesion occupying the medial portion of the left temporal lobe next to the pole with modest compression to the ipsilateral curs of the midbrain. CONCLUSION: Many investigations evaluating seizure outcomes after epilepsy surgery have been undertaken, as well as the impact on health-related quality of life. Because there is minimal evidence from clinical studies of postoperative antiepileptic drug reduction, prospective trials of AED withdrawal following epilepsy surgery should provide more specific information.

DOI

10.21608/pajn.2023.238574.1105

Keywords

Epilepsy, Temporal Lobe, lesionectomy, Antiepileptic drugs

Authors

First Name

Akhlaque

Last Name

Hossain Khan

MiddleName

-

Affiliation

Department of Neurosurgery,BSMMU,Shahbag,Dhaka,Bangladesh

Email

akhlaque63neuro@yahoo.com

City

-

Orcid

-

First Name

Bipin

Last Name

Chaurasia

MiddleName

-

Affiliation

Department of Neurosurgery,Neurosurgery Clinic ,Birgunj,Nepal

Email

trozexa@gmail.com

City

Birgunj

Orcid

0000-0002-8392-2072

First Name

Md.Tauhidur

Last Name

Rahman

MiddleName

-

Affiliation

Department of Neurosurgery,BSSMU,Shahbag,Dhaka,Bangladesh

Email

tauhiddomc@gmail.com

City

-

Orcid

-

First Name

Tandin

Last Name

Dorji

MiddleName

Wangyel

Affiliation

department of neurosurgery,BSMMU,DHAKA,Bangladesh

Email

wangyaltd@live.com

City

-

Orcid

-

First Name

Sazzadul

Last Name

Bari

MiddleName

-

Affiliation

Deaprtment of neurosurgery,Bsmmu,Bangladesh

Email

sazzadulbari10@yahoo.com

City

-

Orcid

-

First Name

Alok

Last Name

Jha

MiddleName

-

Affiliation

department of neurosurgery,BSMMU,DHAKA,Bangladesh

Email

zhaalok@gmail.com

City

-

Orcid

-

First Name

Abu Saleh

Last Name

Md. Abu Obaida

MiddleName

-

Affiliation

department of neurosurgery,BSMMU,shahbag,dhaka,bangladesh

Email

dr_abu_obida@yahoo.com

City

-

Orcid

-

First Name

Vishal

Last Name

Chavda

MiddleName

-

Affiliation

Department of pathology,stanford school of medicine,stanford,USA

Email

chavdavishal2@gmail.com

City

-

Orcid

-

First Name

Nicola

Last Name

Montemurro

MiddleName

-

Affiliation

Deapartment of neurosurgery,university of pisa pisa,italy

Email

nicola.montemurro@unipi.it

City

-

Orcid

-

First Name

Atanna

Last Name

Yeamoon

MiddleName

-

Affiliation

BSMMU,Bangladesh

Email

atanna.yeamoon@gmail.com

City

-

Orcid

-

First Name

Mamun

Last Name

Ahmed

MiddleName

-

Affiliation

BSMMU,Bangladesh

Email

drahmedmamun@gmail.com

City

-

Orcid

-

First Name

Farheen

Last Name

Anika

MiddleName

khan

Affiliation

Bsmmu,Bangladesh

Email

fahimshahriyer1@gmail.com

City

-

Orcid

-

First Name

Asifur

Last Name

Rahman

MiddleName

-

Affiliation

BSMMU,Bangladesh

Email

bijoun14@yahoo.com

City

-

Orcid

-

Volume

19

Article Issue

1

Related Issue

48601

Issue Date

2024-06-01

Receive Date

2023-09-24

Publish Date

2024-06-01

Page Start

77

Page End

79

Print ISSN

1319-6995

Online ISSN

2735-4482

Article File

PAJN_Volume 19_Issue 1_Pages 77-79.pdf

PDF . 916.7kB

Link

https://pajn.journals.ekb.eg/article_361591.html

Detail API

https://pajn.journals.ekb.eg/service?article_code=361591

Order

12

Type

Case Reports

Type Code

1,546

Publication Type

Journal

Publication Title

Pan Arab Journal of Neurosurgery

Publication Link

https://pajn.journals.ekb.eg/

MainTitle

Lesionectomy for Temporal Lobe Lesion Can Results in Reduced Need of Antiepileptic Drugs.

Details

Type

Article

Created At

27 Dec 2024