Lesionectomy for Temporal Lobe Lesion Can Results in Reduced Need of Antiepileptic Drugs.
Hossain Khan, A., Chaurasia, B., Rahman, M., Dorji, T., Bari, S., Jha, A., Md. Abu Obaida, A., Chavda, V., Montemurro, N., Yeamoon, A., Ahmed, M., Anika, F., Rahman, A. (2024). Lesionectomy for Temporal Lobe Lesion Can Results in Reduced Need of Antiepileptic Drugs.. EKB Journal Management System, 19(1), 77-79. doi: 10.21608/pajn.2023.238574.1105
Akhlaque Hossain Khan; Bipin Chaurasia; Md.Tauhidur Rahman; Tandin Wangyel Dorji; Sazzadul Bari; Alok Jha; Abu Saleh Md. Abu Obaida; Vishal Chavda; Nicola Montemurro; Atanna Yeamoon; Mamun Ahmed; Farheen khan Anika; Asifur Rahman. "Lesionectomy for Temporal Lobe Lesion Can Results in Reduced Need of Antiepileptic Drugs.". EKB Journal Management System, 19, 1, 2024, 77-79. doi: 10.21608/pajn.2023.238574.1105
Hossain Khan, A., Chaurasia, B., Rahman, M., Dorji, T., Bari, S., Jha, A., Md. Abu Obaida, A., Chavda, V., Montemurro, N., Yeamoon, A., Ahmed, M., Anika, F., Rahman, A. (2024). 'Lesionectomy for Temporal Lobe Lesion Can Results in Reduced Need of Antiepileptic Drugs.', EKB Journal Management System, 19(1), pp. 77-79. doi: 10.21608/pajn.2023.238574.1105
Hossain Khan, A., Chaurasia, B., Rahman, M., Dorji, T., Bari, S., Jha, A., Md. Abu Obaida, A., Chavda, V., Montemurro, N., Yeamoon, A., Ahmed, M., Anika, F., Rahman, A. Lesionectomy for Temporal Lobe Lesion Can Results in Reduced Need of Antiepileptic Drugs.. EKB Journal Management System, 2024; 19(1): 77-79. doi: 10.21608/pajn.2023.238574.1105

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, Page 77-79  XML PDF (895.21 K)
Document Type: Case Reports
DOI: 10.21608/pajn.2023.238574.1105
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Authors
Akhlaque Hossain Khan1; Bipin Chaurasia email orcid 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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