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Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study
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Rasmussen encephalitis: long-term outcome after surgery.

Vera C Terra-Bustamante1, Helio R Machado, Ricardo dos Santos Oliveira

  • 1Department of Neurology, Ribeirão Preto School of Medicine, University of São Paulo, Ribeirão Preto, Brazil. vctbusta@rnp.fmrp.usp.br

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|January 21, 2009
PubMed
Summary
This summary is machine-generated.

Epilepsy surgery offers seizure control for Rasmussen encephalitis (RE) patients, though language and cognitive deficits may persist or worsen post-operatively. This study analyzes RE patient outcomes after surgery.

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Area of Science:

  • Neurology
  • Epileptology
  • Immunology

Background:

  • Rasmussen encephalitis (RE) is a rare autoimmune neurological disorder.
  • It causes progressive neurological deficits including intractable epilepsy and hemiparesis.
  • Current treatments are often ineffective, making epilepsy surgery a consideration.

Purpose of the Study:

  • To analyze the clinical and electrographic characteristics of RE patients.
  • To evaluate the post-operative outcomes of epilepsy surgery in RE patients.
  • To investigate factors influencing seizure control and neurological function post-surgery.

Main Methods:

  • Retrospective analysis of 25 RE patients from 1995-2008.
  • Inclusion of variables: demographics, epilepsy onset, EEG findings, surgical details, and outcomes.
  • Assessment of seizure control, language, and cognitive function pre- and post-surgery.

Main Results:

  • 23 patients underwent epilepsy surgery with a mean follow-up of 63.3 months.
  • 14 patients achieved satisfactory seizure control; 5 maintained their pre-operative condition.
  • Significant post-operative language and cognitive impairments were observed in many patients, with limited improvement.

Conclusions:

  • Epilepsy surgery can provide seizure control in RE patients.
  • Left-sided RE involvement is associated with persistent language deficits.
  • Cognitive deterioration is a concern post-surgery, highlighting the need for further research into RE management.