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首页> 外文期刊>Iranian Journal of Neurology >Prognostic value of ictal onset patterns in postsurgical outcome of temporal lobe epilepsy
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Prognostic value of ictal onset patterns in postsurgical outcome of temporal lobe epilepsy

机译：短暂发作模式对颞叶癫痫术后预后的预测价值

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Background: To investigate ictal onset patterns (IOP) in scalp electroencephalography (EEG) of patients with temporal lobe epilepsy (TLE) and their prognostic effect on the postoperative outcome.Methods: We conducted a retrospective cohort study between 2011 and 2015 in our referral Epilepsy Surgery Center enrolling adult patients with refractory TLE and a visible epileptogenic lesion in magnetic resonance imaging (MRI), who underwent epilepsy surgery. Demographic, clinical and MRI findings were collected and ictal findings during video-EEG monitoring were reviewed in detail. The correlation between preoperative findings and the postsurgical outcome was analyzed.Results: We reviewed 303 seizures in 93 patients. Rhythmic theta and rhythmic spike/sharp and wave were respectively the most common initial ictal pattern and late significant discharges. Engel class I outcome was observed in 88.2% of patients. Female sex, aura, the absence of secondary generalization, rhythmic theta as initial ictal pattern and concordance of ictal-interictal EEG findings were correlated with favorable 1-year postsurgical outcome.Conclusion: Preoperative clinical and EEG findings can provide valuable information regarding postsurgical prognosis in TLE patients.
机译：背景：探讨颞叶癫痫（TLE）患者头皮脑电图（EEG）的发作期模式（IOP）及其对术后预后的影响。方法：我们在2011年至2015年之间对转诊癫痫患者进行了回顾性队列研究。手术中心招募了接受癫痫手术的成人难治性TLE和可见癫痫病灶的磁共振成像（MRI）患者。收集了人口统计学，临床和MRI检查结果，并详细审查了视频-EEG监测期间的眼部检查结果。结果：我们回顾了93例患者的303例癫痫发作。节律theta和节律尖峰/尖峰和波动分别是最常见的初始发作模式和晚期显着放电。在88.2％的患者中观察到了恩格尔I类结局。女性，先兆，缺乏继发性泛化，作为初始发作模式的节律性θ以及发作间隔与发作间期脑电图的一致性与术后一年的良好结局相关。结论：术前临床和脑电图检查结果可提供有关术后预后的有价值的信息TLE患者。

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