Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Surgical Outcome of Intractable Seizure with Space-Occupying Lesion in Temporal Lobe

측두엽내 공간 점유 병소와 동반된 난치성 간질의 수술적 치료 성적

  • Park, Jun Bum (Department of Neurosurgery, Asan Medical Center, College of Medicine, Ulsan University) ;
  • Lee, Wan Su (Department of Neurosurgery, Asan Medical Center, College of Medicine, Ulsan University) ;
  • Lee, Jung Kyo (Department of Neurosurgery, Asan Medical Center, College of Medicine, Ulsan University) ;
  • Jeon, Sang Ryong (Department of Neurosurgery, Asan Medical Center, College of Medicine, Ulsan University) ;
  • Kim, Jeong Hoon (Department of Neurosurgery, Asan Medical Center, College of Medicine, Ulsan University) ;
  • Roh, Sung Woo (Department of Neurosurgery, Asan Medical Center, College of Medicine, Ulsan University) ;
  • Ra, Young Shin (Department of Neurosurgery, Asan Medical Center, College of Medicine, Ulsan University) ;
  • Kim, Chang Jin (Department of Neurosurgery, Asan Medical Center, College of Medicine, Ulsan University) ;
  • Kwon, Yang (Department of Neurosurgery, Asan Medical Center, College of Medicine, Ulsan University) ;
  • Rhim, Seung Chul (Department of Neurosurgery, Asan Medical Center, College of Medicine, Ulsan University) ;
  • Kwun, Byung Duk (Department of Neurosurgery, Asan Medical Center, College of Medicine, Ulsan University) ;
  • Kang, Joong Koo (Department of Neurology, Asan Medical Center, College of Medicine, Ulsan University) ;
  • Lee, Sang Ahm (Department of Neurology, Asan Medical Center, College of Medicine, Ulsan University) ;
  • Ko, Tae Sung (Department of Pediatric, Asan Medical Center, College of Medicine, Ulsan University)
  • 박준범 (울산대학교 의과대학 아산재단 서울중앙병원 신경외과학교실) ;
  • 이완수 (울산대학교 의과대학 아산재단 서울중앙병원 신경외과학교실) ;
  • 이정교 (울산대학교 의과대학 아산재단 서울중앙병원 신경외과학교실) ;
  • 전상룡 (울산대학교 의과대학 아산재단 서울중앙병원 신경외과학교실) ;
  • 김정훈 (울산대학교 의과대학 아산재단 서울중앙병원 신경외과학교실) ;
  • 노성우 (울산대학교 의과대학 아산재단 서울중앙병원 신경외과학교실) ;
  • 나영신 (울산대학교 의과대학 아산재단 서울중앙병원 신경외과학교실) ;
  • 김창진 (울산대학교 의과대학 아산재단 서울중앙병원 신경외과학교실) ;
  • 권양 (울산대학교 의과대학 아산재단 서울중앙병원 신경외과학교실) ;
  • 임승철 (울산대학교 의과대학 아산재단 서울중앙병원 신경외과학교실) ;
  • 권병덕 (울산대학교 의과대학 아산재단 서울중앙병원 신경외과학교실) ;
  • 강중구 (울산대학교 의과대학 아산재단 서울중앙병원 신경과학교실) ;
  • 이상암 (울산대학교 의과대학 아산재단 서울중앙병원 신경과학교실) ;
  • 고태성 (울산대학교 의과대학 아산재단 서울중앙병원 소아과학교실)
  • Received : 2000.01.18
  • Accepted : 2000.05.30
  • Published : 2001.01.28
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Abstract

Objective : The increasing use of sensitive neuroimaging techniques has demonstrated that significant percentage of patients with intractable complex partial seizures have brain masses, especially in temporal lobe. The optimal surgical solution for these patients is still open to debate. The purpose of our investigation is to evaluate the surgical outcome of patient with lesion-related temporal lobe epilepsy with respect to the types of surgery and the location of lesion. Patients and Methods : From DEC. 1993 to Dec. 1997, 35 patients with intractable epilepsy and space occupying temporal lobe lesion identified in preoperative MRI were included in this study. The types of surgery were lesionectomy, anterior temporal lobectomy with or without hippocampectomy. The location of lesion was divided as anteromedial group and lateral cortical group. The postoperative seizure outcomes according to the type of surgery and location of the lesion were compared. Results : Twenty-six of 34 patients(76.5%) were seizure-free after surgery. The Engel's class was favorable after anterior temporal lobectomy with or without hippocampectomy(p=.044) Conclusion : It is favorable to perform anterior temporal lobectomy for the treatment of intractable epilepsy with space-occipying lesion in temporal lobe. The resection of the hippocampus can be individualized.

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