Journal of Korean Neurosurgical Society

  • 제44권4호
  • /
  • Pages.234-239
  • /
  • 2008
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

Surgical Complications of Epilepsy Surgery Procedures : Experience of 179 Procedures in a Single Institute

  • Lee, Jun-Ho (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Hwang, Yong-Soon (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Shin, Jun-Jae (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Kim, Tae-Hong (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Shin, Hyung-Shik (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Park, Sang-Keun (Department of Neurosurgery, Sanggye Paik Hospital, Inje University College of Medicine)
  • 발행 : 2008.10.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective : There are a few reports on the complications of surgery for epilepsy. We surveyed our data to present complications of epilepsy surgeries from the neurosurgeon's point of view and compare our results with other previous reports. Methods : A total of 179 surgical procedures for intractable epilepsy (41 diagnostic, 138 therapeutic) were performed in 92 consecutive patients (10 adults, 82 children) during the last 9.2 years (February. 1997-April. 2006). Their medical records and radiological findings were reviewed to identify and analyze the surgical complications. Results : The diagnostic procedures encompassed various combinations of subdural grid, subdural strips, and depth electrodes. Four minor transient complications developed in 41 diagnostic procedures (4/41=9.8%). A total of 138 therapeutic procedures included 28 anterior temporal lobectomies, 21 other lobectomies, 6 lesionectomies, 21 topectomies, 13 callosotomies, 20 vagus nerve stimulations, 13 multiple subpial transections, and 16 hemispherectomies. Twenty-six complications developed in therapeutic procedures (26/138=18.8%). Out of the 26 complications, 21 complications were transient and reversible (minor; 21/138=15.2%), and 5 were serious complications (major; 5/138=3.6%). Five major complications were one visual field defect, two mortality cases and two vegetative states. There were 2 additional mortality cases which were not related to the surgery itself. Conclusion : Our results indicate that complication rate was higher than previous other reports in minor complications and was comparable in major complications. However, our results show relatively high frequency of mortality cases and severe morbidity case compared to other previous reports. The authors would like to emphasize the importance of acute postoperative care in young pediatric patients as well as meticulous surgical techniques to reduce morbidity and mortality in epilepsy surgery.

키워드

참고문헌

  1. Beckung E, Uvebrant P, Hedstrom A, Rydenhag B : The effects of epilepsy surgery on the sensorimotor function of children. Dev Med Child Neurol 36 : 893-901, 1994 https://doi.org/10.1111/j.1469-8749.1994.tb11780.x
  2. Behrens E, Schramm J, Zentner J, Konig R : Surgical and neurological complications in a series of 708 epilepsy surgery procedures. Neurosurgery 41 : 1-9; discussion 9-10, 1997 https://doi.org/10.1097/00006123-199707000-00004
  3. Engel JJ, Van Ness PC, Rasmussen TB, Ojemann LM : Outcome with respect to epileptic seizures, in Engel JJ (ed) : Surgical Treatment of the Epilepsies, ed 2. New York, Raven Press, 1993, pp 609-622
  4. Hoffman HJ : Benefits of early surgery in Sturge-Weber syndrome, in Tuxhorn I, Holthausen H, BoenigkH (eds) : Pediatric Epilepsy Syndromes and Their Surgical Treatment. London, John Libbey, 1997, pp 364-370
  5. Hughes TS, Abou-Khalil B, Lavin P, Fakhoury T, Blumenkopf B, Donahue SP : Visual field defects after temporal lobe resection : a prospective quantitative analysis. Neurology 53 : 167-172, 1999 https://doi.org/10.1212/WNL.53.1.167
  6. Inoue Y, Mihara T, Seino M : Timing of epilepsy surgery : Its relevance for psychosocial rehabilitation, in Tuxhorn I, Holthausen H, Boenigk H (eds) : Pediatric Epilepsy Syndromes and Their Surgical Treatment. London, John Libbey, 1997, pp 76-84
  7. International League Against Epilepsy : A global survey on epilepsy surgery, 1980-1990 : a report by the commission on neurosurgery of epilepsy, the International League Against Epilepsy. Epilepsia 38 : 249-255, 1997 https://doi.org/10.1111/j.1528-1157.1997.tb01105.x
  8. Jensen I, Seedorff HH : Temporal lobe epilepsy and neuro-ophthalmology. Ophthalmological findings in 74 temporal lobe resected patients. Acta Ophthalmol (Copenh) 54 : 827-841, 1976 https://doi.org/10.1111/j.1755-3768.1976.tb01803.x
  9. Malmgren K, Sullivan M, Edstedt G, Kullberg G, Kumlien E : Health-related quality of life after epilepsy surgery : a Swedish multicenter study. Epilepsia 38 : 830-838, 1997 https://doi.org/10.1111/j.1528-1157.1997.tb01471.x
  10. Manji H, Plant GT : Epilepsy surgery, visual fields, and driving : A study of the visual field criteria for driving in patients after temporal lobe epilepsy surgery with a comparison of Goldmann and Esterman perimetry. J Neurol Neurosurg Psychiatry 68 : 80-82, 2000 https://doi.org/10.1136/jnnp.68.1.80
  11. Marino R Jr, Rasmussen T : Visual field changes after temporal lobectomy in man. Neurology 18 : 825-835, 1968 https://doi.org/10.1212/WNL.18.9.825
  12. Palmini A, Costa da Costa J, Andermann F, Dubeau F, Gambardella A, Kim H-I, et al : Surgical results in epilepsy patients with localized cortical dysplastic lesions, in Tuxhorn I, Holthausen H, Boenigk H (eds) : Pediatric Epilepsy Syndromes and Their Surgical Treatment. London, John Libbey, 1997, pp 216-224
  13. Rydenhag B, Silander HC : Complications of epilepsy surgery after 654 procedures in Sweden, September 1990-1995 : a multicenter study based on the Swedish National Epilepsy Surgery Register. Neurosurgery 49 : 51-56; discussion 56-57, 2001 https://doi.org/10.1097/00006123-200107000-00007
  14. Shimizu.H, Maehara T : Modification of peri-insular hemispherectomy and surgical results. Neurosurgery 47 : 367-372; discussion 372-373, 2000 https://doi.org/10.1097/00006123-200008000-00018
  15. Silander H, Blom S, Malmgren K, Ros I, Uvebrant P : Surgical treatment for epilepsy : a retrospective Swedish multicenter study. Acta Neurol Scand 95 : 321-330, 1997 https://doi.org/10.1111/j.1600-0404.1997.tb00219.x
  16. Son EI : Complications and its managements of the epilepsy surgery. J Korean Neurosurg Soc 26 : 1772-1779, 1997
  17. Tecoma ES, Laxer KD, Barbaro NM, Plant GT : Frequency and characteristics of visual field deficits after surgery for mesial temporal sclerosis. Neurology 43 : 1235-1238, 1993 https://doi.org/10.1212/WNL.43.6.1235
  18. Van Buren JM: Complications of surgical procedures in the diagnosis and treatment of epilepsy, in Engel JJ (ed) : Surgical Treatment of the Epilepsies. New York, Raven Press, 1987, pp 465-475
  19. Vickrey BG, Hays RD, Hermann BP, Bladin PF, Batzel LW: Outcomes with respect to quality of life, in Engel JJ (ed) : Surgical Treatment of the Epilepsies, ed 2. New York, Raven Press, 1993, pp 623-636

피인용 문헌

  1. Control of a brain–computer interface using stereotactic depth electrodes in and adjacent to the hippocampus vol.8, pp.2, 2008, https://doi.org/10.1088/1741-2560/8/2/025006
  2. Signals from intraventricular depth electrodes can control a brain-computer interface vol.203, pp.2, 2008, https://doi.org/10.1016/j.jneumeth.2011.10.012
  3. Timing and Predictors of Fever and Infection After Craniotomy for Epilepsy in Children vol.32, pp.5, 2008, https://doi.org/10.1097/inf.0b013e318287b408
  4. Temporal Lobe Resective Surgery for Medically Intractable Epilepsy: A Review of Complications and Side Effects vol.2013, pp.None, 2013, https://doi.org/10.1155/2013/752195
  5. Stereoelectroencephalography vol.72, pp.3, 2008, https://doi.org/10.1227/neu.0b013e31827d1161
  6. Stereoelectroencephalography in Children and Adolescents With Difficult-to-Localize Refractory Focal Epilepsy vol.75, pp.3, 2008, https://doi.org/10.1227/neu.0000000000000453
  7. Safety profile of intracranial electrode implantation for video-EEG recordings in drug-resistant focal epilepsy vol.262, pp.12, 2008, https://doi.org/10.1007/s00415-015-7901-6
  8. Complications of epilepsy surgery in Sweden 1996-2010: a prospective, population-based study vol.122, pp.3, 2008, https://doi.org/10.3171/2014.9.jns132679
  9. Methodology, outcome, safety and in vivo accuracy in traditional frame-based stereoelectroencephalography vol.159, pp.9, 2008, https://doi.org/10.1007/s00701-017-3242-9
  10. Surgical and neurological complications in temporal lobe epilepsy surgery in modern era vol.9, pp.1, 2008, https://doi.org/10.4103/sni.sni_99_18
  11. Stereoelectroencephalography in children: a review vol.45, pp.3, 2008, https://doi.org/10.3171/2018.6.focus18226
  12. Stereoelectroencephalography in children: a review vol.45, pp.3, 2008, https://doi.org/10.3171/2018.6.focus18226
  13. Complications after Anterior Temporal Lobectomy for Medically Intractable Epilepsy: A Systematic Review and Meta-Analysis vol.97, pp.2, 2019, https://doi.org/10.1159/000500136
  14. Optimization of surgical intervention outside the epileptogenic zone in the Virtual Epileptic Patient (VEP) vol.15, pp.6, 2008, https://doi.org/10.1371/journal.pcbi.1007051
  15. Epilepsy and Mortality vol.38, pp.1, 2008, https://doi.org/10.17340/jkna.2020.1.1