Lesionectomy for Temporal Lobe Lesion Can Results in Reduced Need of Antiepileptic Drugs. | ||
| Pan Arab Journal of Neurosurgery | ||
| Article 12, Volume 19, Issue 1, June 2024, Pages 77-79 PDF (895.21 K) | ||
| Document Type: Case Reports | ||
| DOI: 10.21608/pajn.2023.238574.1105 | ||
| Authors | ||
| Akhlaque Hossain Khan1; Bipin Chaurasia* 2; Md.Tauhidur Rahman3; Tandin Wangyel Dorji4; Sazzadul Bari5; Alok Jha4; Abu Saleh Md. Abu Obaida6; Vishal Chavda7; Nicola Montemurro8; Atanna Yeamoon9; Mamun Ahmed9; Farheen khan Anika10; Asifur Rahman9 | ||
| 1Department of Neurosurgery,BSMMU,Shahbag,Dhaka,Bangladesh | ||
| 2Department of Neurosurgery,Neurosurgery Clinic ,Birgunj,Nepal | ||
| 3Department of Neurosurgery,BSSMU,Shahbag,Dhaka,Bangladesh | ||
| 4department of neurosurgery,BSMMU,DHAKA,Bangladesh | ||
| 5Deaprtment of neurosurgery,Bsmmu,Bangladesh | ||
| 6department of neurosurgery,BSMMU,shahbag,dhaka,bangladesh | ||
| 7Department of pathology,stanford school of medicine,stanford,USA | ||
| 8Deapartment of neurosurgery,university of pisa pisa,italy | ||
| 9BSMMU,Bangladesh | ||
| 10Bsmmu,Bangladesh | ||
| 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. | ||
| Keywords | ||
| Epilepsy; Temporal Lobe; Lesionectomy; Antiepileptic Drugs | ||
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