@entity7667 and XXXX : clinical and neurophysiologic features and predictors of outcome after surgery.

@entity1 @entity410 @entity5 @entity2287 @entity302 @entity7667
PURPOSE: To review the clinical, neurophysiologic, and radiological data of @entity1 with @entity7667 who had undergone evaluation and surgery in our @entity302 Program. METHODS: The medical and neurophysiologic records of 38 @entity1 with @entity302 and @entity7667 were reviewed. Data underwent statistical analysis. RESULTS: There were 28 temporal and 10 extratemporal resections, with a mean age at @entity410 onset of 10.5 years and mean age at surgery of 22 years. @entity5 resections performed earlier were recorded. Twenty-nine @entity1 had auras and 20 had secondarily generalized @entity410 . All 28 @entity1 with temporal @entity5 had complex partial @entity410 . Preoperative MRI demonstrated the @entity5 in 36 of 36 @entity1 : 17 of 29 demonstrated @entity2287 enhancement, and 17 of 36 had mass effect. Scalp interictal sharp waves were present in 32 @entity1 , and in 15 they were multiregional. In two @entity1 , scalp EEG @entity410 onset was from the hemisphere contralateral to the @entity5 . Postoperatively, 79% of @entity1 (30 of 38) were @entity410 -free (Engel's class I) at 6 months, 72% at 1 year (26 of 36), and 63% at 2 years (20 of 32). Excellent outcome was associated with a lower age at operation (p = 0.008), shorter duration of @entity302 (p = <0.01), absence of generalized @entity410 (p = <0.01), and no @entity302 on a postoperative EEG (p = 0.01). CONCLUSIONS: Good surgical outcome is expected in @entity1 with @entity7667 despite years of medically resistant @entity410 . Good outcome may be achieved despite EEG findings that may conflict with @entity5 location, and is more likely when surgery is performed relatively soon after @entity302 onset.
