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Related Experiment Video

Updated: Jul 20, 2025

Network Analysis of Foramen Ovale Electrode Recordings in Drug-resistant Temporal Lobe Epilepsy Patients
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Network Analysis of Foramen Ovale Electrode Recordings in Drug-resistant Temporal Lobe Epilepsy Patients

Published on: December 18, 2016

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Temporal Lobe Surgery for Epilepsy in a Resource-Limited Vietnamese Cohort.

Van Dinh Tran1, Bac Thanh Nguyen2, He Van Dong3

  • 1Vietnam Military Medical University, Hanoi, Vietnam; Neurosurgery Center of Viet Duc Hospital, Hanoi, Vietnam.

World Neurosurgery
|August 2, 2023
PubMed
Summary

Epilepsy surgery in low-resource settings is feasible. Temporal lobectomy for drug-resistant epilepsy achieved an 80% seizure-free rate, demonstrating effective care is possible globally.

Keywords:
LesionectomyLow-incomeResource limitedSelective amygdalohippocampectomyTemporal mesial sclerosisVietnam

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Area of Science:

  • Neurosurgery
  • Epileptology
  • Global Health

Background:

  • Epilepsy surgery is crucial for drug-resistant epilepsy but challenging in resource-limited countries.
  • International collaboration can establish essential epilepsy surgery programs.

Purpose of the Study:

  • To evaluate the efficacy and safety of temporal lobectomy for drug-resistant epilepsy in a low-resource setting.
  • To present a model for establishing epilepsy surgery programs in underserved regions.

Main Methods:

  • Retrospective chart review and prospective follow-up of 35 patients with unilateral temporal lobe epilepsy.
  • Patients underwent temporal lobectomy at Viet Duc University Hospital between May 2018 and September 2022.
  • Data collected included seizure outcomes, pathology, and postoperative complications.

Main Results:

  • 80% of patients achieved seizure freedom (Engel I) at 1 year post-surgery; 20% showed significant improvement (Engel II).
  • Common pathologies included mesial temporal sclerosis (48.57%), focal cortical dysplasia (25.71%), and low-grade neoplasms (25.71%).
  • Postoperative complications occurred in 17.14% of patients (infections, transient paresis), with no deaths.

Conclusions:

  • Effective and safe surgical treatment for drug-resistant temporal lobe epilepsy is achievable in low-resource environments.
  • This study provides a replicable model for international collaboration in developing epilepsy surgery programs.
  • Successful outcomes highlight the potential to expand surgical care for epilepsy globally.