Low-grade temporal gliomas: surgical strategy and long-term seizure outcome.
Low-grade gliomas (LGGs) are generally located in temporal lobe and cause medically-intractable seizure so that surgical treatment becomes inevitable. This study includes a retrospective analysis of our patients with temporal LGGs retrieved from our epilepsy surgery data base and tries to present appropriate surgical approach and long-term seizure and anti-epileptic drug (AED) outcomes. Fifty-three patients including children and adults underwent surgery on temporal lobe LGGs and 35 patients were reached to report seizure and AED outcomes. On the non-dominant temporal lobe, anterior temporal resection with hippocampectomy whether mesial structure are involved or not is the appropriate approach. On the dominant temporal lobe mesial structures should be respected. However, total resection of the tumor should be the goal of surgery. Mean follow-up period was 8.3 years and favorable seizure outcome was found to be 91.4%. Surgery decreased AED usage and mean number of AED significantly decreased. Children also benefited from surgery as adults. Surgical treatment of tumor-related epilepsy from temporal lobe controls seizures, and total removal should be the main goal of surgery as neuropsychological testing permit.
['Kemerdere|Rahsan|R|', 'Yuksel|Odhan|O|', 'Kacira|Tibet|T|', 'Yeni|Naz|N|', 'Ozkara|Cigdem|C|', 'Tanriverdi|Taner|T|', 'Uzan|Mustafa|M|', 'Ozyurt|Emin|E|']
D000293:Adolescent D000328:Adult D000927:Anticonvulsants D002648:Child D002675:Child, Preschool D005260:Female D005910:Glioma D006801:Humans D008297:Male D008875:Middle Aged D060787:Neoplasm Grading D012640:Seizures D015173:Supratentorial Neoplasms D013702:Temporal Lobe D016896:Treatment Outcome D055815:Young Adult
Low-grade Glioma Seizure Temporal lobe Epilepsy