Title: Outcome after epilepsy surgery at the University Hospitals Leuven 1998-2012
Authors: Vermeulen, Lynn ×
van Loon, Johan
Theys, Tom
Goffin, Jan
Porke, Kathleen
Van Laere, Koen
Goffin, Karolien
Vandenbulcke, Mathieu
Thijs, Vincent
Van Paesschen, Wim #
Issue Date: Sep-2016
Publisher: Acta Medica Belgica
Series Title: Acta Neurologica Belgica vol:116 issue:3 pages:271-278
Abstract: We performed a retrospective outcome study of 199 patients who underwent resective epilepsy surgery from 1998 to 2012 and had a minimum of one-year follow-up at the University Hospitals Leuven. Our aim was to assess seizure outcome, prognostic factors for seizure outcome and complication rate. Good seizure outcome after surgery was 38 % at 5 years and 34 % at 10 years follow-up. Good seizure outcome over the previous year at last follow-up, however, was 77 %, which could be explained by the 'running-down phenomenon', i.e. seizure freedom after initial recurrent epilepsy in 32 % of the patients, mainly after temporal lobe surgery. Good seizure outcome for at least 1 year at the last visit was 82 % for temporal and 62 % for extra-temporal lobe interventions. Other variables predictive of a good seizure outcome were not identified. Permanent complications of epilepsy surgery were observed in 31 %. The most important were word finding difficulties (22 %), depression (18 %) and memory deficits (12 %). In conclusion, epilepsy surgery is an excellent treatment option for selected patients, with a good seizure outcome in around 80 % of patients and complications in about 30 %.
ISSN: 0300-9009
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Research Group Experimental Neurosurgery and Neuroanatomy
Nuclear Medicine & Molecular Imaging
Research Group Psychiatry
Laboratory for Epilepsy Research
× corresponding author
# (joint) last author

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