PMID- 22749920
OWN - NLM
STAT- MEDLINE
DCOM- 20130103
LR  - 20141021
IS  - 1532-2688 (Electronic)
IS  - 1059-1311 (Linking)
VI  - 21
IP  - 8
DP  - 2012 Oct
TI  - Safety of video-EEG monitoring and surgical outcome in patients with mesial 
      temporal sclerosis and psychosis of epilepsy.
PG  - 583-7
LID - 10.1016/j.seizure.2012.06.002 [doi]
AB  - PURPOSE: Cortico-amygdalohippocampectomy (CAH) has become an important treatment 
      option for patients with refractory temporal lobe epilepsy and mesial temporal 
      sclerosis (TLE-MTS); it has resulted in a 60-70% seizure remission rate and 
      significant quality of life (QOL) improvements. Video-electroencephalography 
      (VEEG) monitoring has been widely used in epilepsy centers for pre-surgical 
      evaluation. A major concern in epilepsy surgery is whether to consider CAH 
      treatment in patients with psychosis of epilepsy (POE). This study analyzed the 
      safety and adverse events (AEs) of VEEG monitoring and the post-surgical outcomes 
      of patients with refractory TLE-MTS and POE who underwent CAH. METHOD: Clinical, 
      sociodemographic and VEEG data from 18 patients with TLE-MTS and POE were 
      analyzed. Psychiatric evaluations were performed using DSM-IV and ILAE criteria. 
      The seizure outcome was evaluated using Engel's criteria. RESULTS: Two patients 
      (11.2%) presented AEs that did not result in increased lengths of 
      hospitalization. Of the 10 patients (55.5%) who underwent CAH, 6 (60%) became 
      free of disabling seizures (Engel I). The psychiatric and QOL evaluations 
      revealed improvements of psychotic symptoms (p=0.01) and in Physical Health 
      (p=0.01) following surgery. CONCLUSION: These data reinforce that VEEG monitoring 
      is a safe method to evaluate patients with refractory TLE-MTS and POE in epilepsy 
      centers.
CI  - Copyright (c) 2012 British Epilepsy Association. Published by Elsevier Ltd. All 
      rights reserved.
FAU - da Conceicao, Priscila Oliveira
AU  - da Conceicao PO
AD  - Department of Neurology and Neurosurgery, Universidade Federal de Sao Paulo 
      (UNIFESP), Sao Paulo, Brazil.
FAU - de Araujo Filho, Gerardo Maria
AU  - de Araujo Filho GM
FAU - Mazetto, Lenon
AU  - Mazetto L
FAU - Alonso, Neide Barreira
AU  - Alonso NB
FAU - Yacubian, Elza Marcia Targas
AU  - Yacubian EM
LA  - eng
PT  - Journal Article
DEP - 20120629
PL  - England
TA  - Seizure
JT  - Seizure
JID - 9306979
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Anterior Temporal Lobectomy/adverse effects/methods
MH  - *Electroencephalography
MH  - Epilepsy, Temporal Lobe/complications/*psychology/*surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Monitoring, Physiologic
MH  - Postoperative Complications/epidemiology/etiology
MH  - Preoperative Care/*methods
MH  - Psychotic Disorders/*etiology/surgery
MH  - Sclerosis
MH  - Temporal Lobe/pathology/surgery
MH  - Treatment Outcome
MH  - Video Recording
EDAT- 2012/07/04 06:00
MHDA- 2013/01/04 06:00
CRDT- 2012/07/04 06:00
PHST- 2012/04/29 00:00 [received]
PHST- 2012/06/04 00:00 [revised]
PHST- 2012/06/05 00:00 [accepted]
PHST- 2012/07/04 06:00 [entrez]
PHST- 2012/07/04 06:00 [pubmed]
PHST- 2013/01/04 06:00 [medline]
AID - S1059-1311(12)00148-3 [pii]
AID - 10.1016/j.seizure.2012.06.002 [doi]
PST - ppublish
SO  - Seizure. 2012 Oct;21(8):583-7. doi: 10.1016/j.seizure.2012.06.002. Epub 2012 Jun 
      29.