Surgery for encephalomalacias presenting with intractable epilepsy
Background Surgery for intractable epilepsy caused by encephalomalacia (especially post-traumatic) has been reported very scarcely in the literature. Materials and Methods 21 cases are presented who underwent resections for encephalomalacias for medically intractable epilepsy are present...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2012-01-01
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| Series: | Indian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.94368 |
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| author | P. Sarat Chandra Abuzer Ansari Avnish Chauhan Amandeep Kumar Ajay Garg Chitra Sarkar C.S. Bal Manjari Tripathi |
| author_facet | P. Sarat Chandra Abuzer Ansari Avnish Chauhan Amandeep Kumar Ajay Garg Chitra Sarkar C.S. Bal Manjari Tripathi |
| author_sort | P. Sarat Chandra |
| collection | DOAJ |
| description | Background
Surgery for intractable epilepsy caused by encephalomalacia (especially post-traumatic) has been reported very scarcely in the literature.
Materials and Methods
21 cases are presented who underwent resections for encephalomalacias for medically intractable epilepsy are presented from a series of 632 cases.
Results
Seizure duration pre-surgery ranged from 3 to 29 years (mean 7.8 years, median of 7 years). Seizure frequency ranged from 2 seizures/month to 7/day, with a median of 10 seizures/month. Causes included head trauma (9), encephalitis (2), peri natal ischemia (3) post abscess (3) and idiopathic (4). The postoperative follow-up was 21 months (ranging from 12 to 63 months). 17 had Engel’s Class I seizure outcome. Four patients had poor seizure outcome (two Class IV and two Class III). All post traumatic encephalomalacias had excellent outcome, and post encephalitis the worst.
Conclusions
Encephalomalacia with intractable epilepsy have a varied outcome and depends on the pathology. |
| format | Article |
| id | doaj-art-ec6d7e60080b4b3486ea04229b5251ad |
| institution | OA Journals |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-ec6d7e60080b4b3486ea04229b5251ad2025-08-20T02:21:49ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672012-01-01010103303710.4103/2277-9167.94368Surgery for encephalomalacias presenting with intractable epilepsyP. Sarat ChandraAbuzer AnsariAvnish ChauhanAmandeep KumarAjay GargChitra SarkarC.S. BalManjari TripathiBackground Surgery for intractable epilepsy caused by encephalomalacia (especially post-traumatic) has been reported very scarcely in the literature. Materials and Methods 21 cases are presented who underwent resections for encephalomalacias for medically intractable epilepsy are presented from a series of 632 cases. Results Seizure duration pre-surgery ranged from 3 to 29 years (mean 7.8 years, median of 7 years). Seizure frequency ranged from 2 seizures/month to 7/day, with a median of 10 seizures/month. Causes included head trauma (9), encephalitis (2), peri natal ischemia (3) post abscess (3) and idiopathic (4). The postoperative follow-up was 21 months (ranging from 12 to 63 months). 17 had Engel’s Class I seizure outcome. Four patients had poor seizure outcome (two Class IV and two Class III). All post traumatic encephalomalacias had excellent outcome, and post encephalitis the worst. Conclusions Encephalomalacia with intractable epilepsy have a varied outcome and depends on the pathology.http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.94368encephalomalaciatraumaticabscessepilepsysurgery |
| spellingShingle | P. Sarat Chandra Abuzer Ansari Avnish Chauhan Amandeep Kumar Ajay Garg Chitra Sarkar C.S. Bal Manjari Tripathi Surgery for encephalomalacias presenting with intractable epilepsy Indian Journal of Neurosurgery encephalomalacia traumatic abscess epilepsy surgery |
| title | Surgery for encephalomalacias presenting with intractable epilepsy |
| title_full | Surgery for encephalomalacias presenting with intractable epilepsy |
| title_fullStr | Surgery for encephalomalacias presenting with intractable epilepsy |
| title_full_unstemmed | Surgery for encephalomalacias presenting with intractable epilepsy |
| title_short | Surgery for encephalomalacias presenting with intractable epilepsy |
| title_sort | surgery for encephalomalacias presenting with intractable epilepsy |
| topic | encephalomalacia traumatic abscess epilepsy surgery |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.94368 |
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