Neurology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Correspondence:
Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Correspondence are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Berkovic, S. F.
Right arrow Articles by Hopper, J. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Berkovic, S. F.
Right arrow Articles by Hopper, J. L.

Neurology, Vol 45, Issue 7 1358-1363, Copyright © 1995 by American Academy of Neurology

ARTICLES

Preoperative MRI predicts outcome of temporal lobectomy: an actuarial analysis

SF Berkovic, AM McIntosh, RM Kalnins, GD Jackson, GC Fabinyi, GA Brazenor, PF Bladin and JL Hopper
Department of Neurology, Austin Hospital, Heidelberg, Melbourne, Australia.

We used actuarial methods to study outcome after temporal lobectomy in 135 consecutive patients classified into subgroups according to preoperative MRI findings. Sixty months after surgery, 69% of patients with foreign tissue lesions, 50% with hippocampal sclerosis, and 21% with normal MRIs had no postoperative seizures. An eventual seizure- free state of 2 years or more, whether the patient was seizure-free since surgery or not, was achieved by 80% of patients with foreign tissue lesions, 62% of those with hippocampal sclerosis, and 36% of those with normal MRIs. Outcome was worse in those with normal MRIs than in the other two groups. Early postoperative seizures with later remission (the "running down" phenomenon) occurred in all groups. Late seizure recurrence was present only in the hippocampal sclerosis group. These data show that preoperative MRI is a useful predictor of outcome and that actuarial analysis provides insight into different longitudinal patterns of outcome in MRI subgroups. This information can now be used in preoperative counseling.


This article has been cited by other articles:


Home page
 BrainHome page
A. McGonigal, F. Bartolomei, J. Regis, M. Guye, M. Gavaret, A. T.-D. Fonseca, H. Dufour, D. Figarella-Branger, N. Girard, J.-C. Peragut, et al.
Stereoelectroencephalography in presurgical assessment of MRI-negative epilepsy
Brain, December 1, 2007; 130(12): 3169 - 3183.
[Abstract] [Full Text] [PDF]

Home page
 BrainHome page
C. Barba, G. Barbati, L. Minotti, D. Hoffmann, and P. Kahane
Ictal clinical and scalp-EEG findings differentiating temporal lobe epilepsies from temporal 'plus' epilepsies
Brain, July 1, 2007; 130(7): 1957 - 1967.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
M.T. Doelken, G. Richter, H. Stefan, A. Doerfler, A. Noemayr, T. Kuwert, O. Ganslandt, C.H. Nimsky, and T. Hammen
Multimodal Coregistration in Patients with Temporal Lobe Epilepsy--Results of Different Imaging Modalities in Lateralization of the Affected Hemisphere in MR Imaging Positive and Negative Subgroups
AJNR Am. J. Neuroradiol., March 1, 2007; 28(3): 449 - 454.
[Abstract] [Full Text] [PDF]

Home page
 BrainHome page
A. B. Vinton, R. Carne, R. J. Hicks, P. M. Desmond, C. Kilpatrick, A. H. Kaye, and T. J. O'Brien
The extent of resection of FDG-PET hypometabolism relates to outcome of temporal lobectomy
Brain, February 1, 2007; 130(2): 548 - 560.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
L. E. Jeha, I. M. Najm, W. E. Bingaman, F. Khandwala, P. Widdess-Walsh, H. H. Morris, D. S. Dinner, D. Nair, N. Foldvary-Schaeffer, R. A. Prayson, et al.
Predictors of outcome after temporal lobectomy for the treatment of intractable epilepsy
Neurology, June 27, 2006; 66(12): 1938 - 1940.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
S. S. Spencer, A. T. Berg, B. G. Vickrey, M. R. Sperling, C. W. Bazil, S. Shinnar, J. T. Langfitt, T. S. Walczak, S. V. Pacia, and for The Multicenter Study of Epilepsy Surgery
Predicting long-term seizure outcome after resective epilepsy surgery: The Multicenter Study
Neurology, September 27, 2005; 65(6): 912 - 918.
[Abstract] [Full Text] [PDF]

Home page
 BrainHome page
S. Chabardes, P. Kahane, L. Minotti, L. Tassi, S. Grand, D. Hoffmann, and A. L. Benabid
The temporopolar cortex plays a pivotal role in temporal lobe seizures
Brain, August 1, 2005; 128(8): 1818 - 1831.
[Abstract] [Full Text] [PDF]

Home page
 J. Neurol. Neurosurg. PsychiatryHome page
K Chapman, E Wyllie, I Najm, P Ruggieri, W Bingaman, J Luders, P Kotagal, D Lachhwani, D Dinner, and H O Luders
Seizure outcome after epilepsy surgery in patients with normal preoperative MRI
J. Neurol. Neurosurg. Psychiatry, May 1, 2005; 76(5): 710 - 713.
[Abstract] [Full Text] [PDF]

Home page
 BrainHome page
J. Janszky, I. Janszky, R. Schulz, M. Hoppe, F. Behne, H. W. Pannek, and A. Ebner
Temporal lobe epilepsy with hippocampal sclerosis: predictors for long-term surgical outcome
Brain, February 1, 2005; 128(2): 395 - 404.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
R. S. Briellmann, G. D. Jackson, G. S. Pell, L. A. Mitchell, and D. F. Abbott
Structural abnormalities remote from the seizure focus: A study using T2 relaxometry at 3 T
Neurology, December 28, 2004; 63(12): 2303 - 2308.
[Abstract] [Full Text] [PDF]

Home page
 J. Neurol. Neurosurg. PsychiatryHome page
H Clusmann, T Kral, E Fackeldey, I Blumcke, C Helmstaedter, J von Oertzen, H Urbach, and J Schramm
Lesional mesial temporal lobe epilepsy and limited resections: prognostic factors and outcome
J. Neurol. Neurosurg. Psychiatry, November 1, 2004; 75(11): 1589 - 1596.
[Abstract] [Full Text] [PDF]

Home page
 BrainHome page
R. P. Carne, T. J. O'Brien, C. J. Kilpatrick, L. R. MacGregor, R. J. Hicks, M. A. Murphy, S. C. Bowden, A. H. Kaye, and M. J. Cook
MRI-negative PET-positive temporal lobe epilepsy: a distinct surgically remediable syndrome
Brain, October 1, 2004; 127(10): 2276 - 2285.
[Abstract] [Full Text] [PDF]

Home page
 BrainHome page
A. M. McIntosh, R. M. Kalnins, L. A. Mitchell, G. C. A. Fabinyi, R. S. Briellmann, and S. F. Berkovic
Temporal lobectomy: long-term seizure outcome, late recurrence and risks for seizure recurrence
Brain, September 1, 2004; 127(9): 2018 - 2030.
[Abstract] [Full Text] [PDF]

Home page
 J. Neurol. Neurosurg. PsychiatryHome page
Y F Tai and P Piccini
Applications of positron emission tomography (PET) in neurology
J. Neurol. Neurosurg. Psychiatry, May 1, 2004; 75(5): 669 - 676.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
S.S. Spencer, A.T. Berg, B.G. Vickrey, M.R. Sperling, C.W. Bazil, S. Shinnar, J.T. Langfitt, T.S. Walczak, S.V. Pacia, N. Ebrahimi, et al.
Initial outcomes in the Multicenter Study of Epilepsy Surgery
Neurology, December 23, 2003; 61(12): 1680 - 1685.
[Abstract] [Full Text] [PDF]

Home page
 Arch NeurolHome page
J. G. Burneo, E. Bilir, E. Faught, R. Morawetz, R. C. Knowlton, R. Martin, and R. I. Kuzniecky
Significance of Fornix Atrophy in Temporal Lobe Epilepsy Surgery Outcome
Arch Neurol, September 1, 2003; 60(9): 1238 - 1242.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
H. H. Yoon, H. L. Kwon, R. H. Mattson, D. D. Spencer, and S. S. Spencer
Long-term seizure outcome in patients initially seizure-free after resective epilepsy surgery
Neurology, August 26, 2003; 61(4): 445 - 450.
[Abstract] [Full Text] [PDF]

Home page
 BrainHome page
A. Hammers, M. J. Koepp, M. P. Richardson, R. Hurlemann, D. J. Brooks, and J. S. Duncan
Grey and white matter flumazenil binding in neocortical epilepsy with normal MRI. A PET study of 44 patients
Brain, June 1, 2003; 126(6): 1300 - 1318.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
J. Engel Jr., S. Wiebe, J. French, M. Sperling, P. Williamson, D. Spencer, R. Gumnit, C. Zahn, E. Westbrook, and B. Enos
Practice parameter: Temporal lobe and localized neocortical resections for epilepsy: Report of the Quality Standards Subcommittee of the American Academy of Neurology, in Association with the American Epilepsy Society and the American Association of Neurological Surgeons
Neurology, February 25, 2003; 60(4): 538 - 547.
[Abstract] [Full Text] [PDF]

Home page
 J. Neurol. Neurosurg. PsychiatryHome page
L Jutila, A Immonen, E Mervaala, J Partanen, K Partanen, M Puranen, R Kalviainen, I Alafuzoff, H Hurskainen, M Vapalahti, et al.
Long term outcome of temporal lobe epilepsy surgery: analyses of 140 consecutive patients
J. Neurol. Neurosurg. Psychiatry, November 1, 2002; 73(5): 486 - 494.
[Abstract] [Full Text] [PDF]

Home page
 BrainHome page
A. Hammers, M. J. Koepp, R. Hurlemann, M. Thom, M. P. Richardson, D. J. Brooks, and J. S. Duncan
Abnormalities of grey and white matter [11C]flumazenil binding in temporal lobe epilepsy with normal MRI
Brain, October 1, 2002; 125(10): 2257 - 2271.
[Abstract] [Full Text] [PDF]

Home page
 BrainHome page
F. Boesebeck, R. Schulz, T. May, and A. Ebner
Lateralizing semiology predicts the seizure outcome after epilepsy surgery in the posterior cortex
Brain, October 1, 2002; 125(10): 2320 - 2331.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
A. A. Capizzano, P. Vermathen, K. D. Laxer, G. B. Matson, A. A. Maudsley, B. J. Soher, N. W. Schuff, and M. W. Weiner
Multisection Proton MR Spectroscopy for Mesial Temporal Lobe Epilepsy
AJNR Am. J. Neuroradiol., September 1, 2002; 23(8): 1359 - 1368.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
F. Gilliam
Optimizing health outcomes in active epilepsy
Neurology, April 23, 2002; 58(90085): S9 - 20.
[Abstract] [Full Text]

Home page
 NeurologyHome page
T. J. O'Brien, H. Moses, D. Cambier, and G. D. Cascino
Age of meningitis or encephalitis is independently predictive of outcome from anterior temporal lobectomy
Neurology, January 8, 2002; 58(1): 104 - 109.
[Abstract] [Full Text] [PDF]

Home page
 BrainHome page
A. Hammers, M. J. Koepp, M. P. Richardson, C. Labbe, D. J. Brooks, V. J. Cunningham, and J. S. Duncan
Central benzodiazepine receptors in malformations of cortical development: A quantitative study
Brain, August 1, 2001; 124(8): 1555 - 1565.
[Abstract] [Full Text] [PDF]

Home page
 JNMHome page
T. J. O'Brien, R. J. Hicks, R. Ware, D. S. Binns, M. Murphy, and M. J. Cook
The Utility of a 3-Dimensional, Large-Field-Of-View, Sodium Iodide Crystal-Based PET Scanner in the Presurgical Evaluation of Partial Epilepsy
J. Nucl. Med., August 1, 2001; 42(8): 1158 - 1165.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
A. Hammers, M.J. Koepp, C. Labbe, D.J. Brooks, M. Thom, V.J. Cunningham, and J.S. Duncan
Neocortical abnormalities of [11C]-flumazenil PET in mesial temporal lobe epilepsy
Neurology, April 10, 2001; 56(7): 897 - 906.
[Abstract] [Full Text] [PDF]

Home page
 J. Neurol. Neurosurg. PsychiatryHome page
J S DUNCAN
The outcome of epilepsy surgery
J. Neurol. Neurosurg. Psychiatry, April 1, 2001; 70(4): 432 - 432.
[Full Text] [PDF]

Home page
 J. Neurol. Neurosurg. PsychiatryHome page
M J Hennessy, R D C Elwes, M Honavar, S Rabe-Hesketh, C D Binnie, and C E Polkey
Predictors of outcome and pathological considerations in the surgical treatment of intractable epilepsy associated with temporal lobe lesions
J. Neurol. Neurosurg. Psychiatry, April 1, 2001; 70(4): 450 - 458.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
A. A. Capizzano, P. Vermathen, K. D. Laxer, G. R. Ende, D. Norman, H. Rowley, G. B. Matson, A. A. Maudsley, M. R. Segal, and M. W. Weiner
Temporal Lobe Epilepsy: Qualitative Reading of
Radiology, January 1, 2001; 218(1): 144 - 151.
[Abstract] [Full Text]

Home page
 NeurologyHome page
T. J. O'Brien, E. L. So, B. P. Mullan, G. D. Cascino, M. F. Hauser, B. H. Brinkmann, F. W. Sharbrough, and F. B. Meyer
Subtraction peri-ictal SPECT is predictive of extratemporal epilepsy surgery outcome
Neurology, December 12, 2000; 55(11): 1668 - 1677.
[Abstract] [Full Text] [PDF]

Home page
 BrainHome page
M. J. Hennessy, R. D. C. Elwes, C. D. Binnie, and C. E. Polkey
Failed surgery for epilepsy: A study of persistence and recurrence of seizures following temporal resection
Brain, December 1, 2000; 123(12): 2445 - 2466.
[Abstract] [Full Text] [PDF]

Home page
 JNMHome page
P. J. Lewis, A. Siegel, A. M. Siegel, C. Studholme, J. Sojkova, D. W. Roberts, V. M. Thadani, K. L. Gilbert, T. M. Darcey, and P. D. Williamson
Does Performing Image Registration and Subtraction in Ictal Brain SPECT Help Localize Neocortical Seizures?
J. Nucl. Med., October 1, 2000; 41(10): 1619 - 1626.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
M. Duchowny, P. Jayakar, and B. Levin
Aberrant neural circuits in malformations of cortical development and focal epilepsy
Neurology, August 8, 2000; 55(3): 423 - 428.
[Abstract] [Full Text] [PDF]

Home page
 BrainHome page
S. M. Sisodiya
Surgery for malformations of cortical development causing epilepsy
Brain, June 1, 2000; 123(6): 1075 - 1091.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
J. Janszky, H. Jokeit, R. Schulz, M. Hoppe, and A. Ebner
EEG predicts surgical outcome in lesional frontal lobe epilepsy
Neurology, April 11, 2000; 54(7): 1470 - 1476.
[Abstract] [Full Text] [PDF]

Home page
 Arch NeurolHome page
F. Cendes, L. M. Li, C. Watson, F. Andermann, F. Dubeau, and D. L. Arnold
Is Ictal Recording Mandatory in Temporal Lobe Epilepsy?: Not When the Interictal Electroencephalogram and Hippocampal Atrophy Coincide
Arch Neurol, April 1, 2000; 57(4): 497 - 500.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
N. Foldvary, B. Nashold, E. Mascha, E. A. Thompson, N. Lee, J. O. McNamara, D. V. Lewis, J. S. Luther, A. H. Friedman, and R. A. Radtke
Seizure outcome after temporal lobectomy for temporal lobe epilepsy: A Kaplan-Meier survival analysis
Neurology, February 8, 2000; 54(3): 630 - 630.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
J. M. Paolicchi, P. Jayakar, P. Dean, I. Yaylali, G. Morrison, A. Prats, T. Resnik, L. Alvarez, and M. Duchowny
Predictors of outcome in pediatric epilepsy surgery
Neurology, February 8, 2000; 54(3): 642 - 642.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
M. J. Koepp, A. Hammers, C. Labbe, F. G. Woermann, D. J. Brooks, and J. S. Duncan
11C-flumazenil PET in patients with refractory temporal lobe epilepsy and normal MRI
Neurology, January 25, 2000; 54(2): 332 - 332.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
R. Kuzniecky, J. Hugg, H. Hetherington, R. Martin, E. Faught, R. Morawetz, and F. Gilliam
Predictive value of 1H MRSI for outcome in temporal lobectomy
Neurology, September 1, 1999; 53(4): 694 - 694.
[Abstract] [Full Text] [PDF]

Home page
 BrainHome page
L. M. Li, F. Cendes, F. Andermann, C. Watson, D. R. Fish, M. J. Cook, F. Dubeau, J. S. Duncan, S. D. Shorvon, S. F. Berkovic, et al.
Surgical outcome in patients with epilepsy and dual pathology
Brain, May 1, 1999; 122(5): 799 - 805.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
H. J. Won, K.-H. Chang, J.-E. Cheon, H. D. Kim, D. S. Lee, M. H. Han, I.-O. Kim, S. K. Lee, and C.-K. Chung
Comparison of MR Imaging with PET and IctalSPECT in 118 Patients with Intractable Epilepsy
AJNR Am. J. Neuroradiol., April 1, 1999; 20(4): 593 - 599.
[Abstract] [Full Text]

Home page
 NeurologyHome page
S. A. Baxendale, S. M. Sisodiya, P. J. Thompson, S. L. Free, N. D. Kitchen, J. M. Stevens, W. F. J. Harkness, D. R. Fish, and S. D. Shorvon
Disproportion in the distribution of gray and white matter: Neuropsychological correlates
Neurology, January 1, 1999; 52(2): 248 - 248.
[Abstract] [Full Text]

Home page
 NeurologyHome page
L. A. Mitchell, G. D. Jackson, R. M. Kalnins, M. M. Saling, G. J. Fitt, R. D. Ashpole, and S. F. Berkovic
Anterior temporal abnormality in temporal lobe epilepsy: A quantitative MRI and histopathologic study
Neurology, January 1, 1999; 52(2): 327 - 327.
[Abstract] [Full Text]

Home page
 J. Neurol. Neurosurg. PsychiatryHome page
F. G Woermann, G. J Barker, K. D Birnie, H. J Meencke, and J. S Duncan
Regional changes in hippocampal T2 relaxation and volume: a quantitative magnetic resonance imaging study of hippocampal sclerosis
J. Neurol. Neurosurg. Psychiatry, November 1, 1998; 65(5): 656 - 664.
[Abstract] [Full Text]

Home page
 Arch NeurolHome page
L. A. Schuh, T. R. Henry, G. Fromes, M. Blaivas, D. A. Ross, and I. Drury
Influence of Head Trauma on Outcome Following Anterior Temporal Lobectomy
Arch Neurol, October 1, 1998; 55(10): 1325 - 1328.
[Abstract] [Full Text] [PDF]

Home page
 J. Neurol. Neurosurg. PsychiatryHome page
K. Kanemoto, N. Takuji, J. Kawasaki, and I. Kawai
Characteristics and treatment of temporal lobe epilepsy with a history of complicated febrile convulsion
J. Neurol. Neurosurg. Psychiatry, February 1, 1998; 64(2): 245 - 248.
[Abstract] [Full Text] [PDF]

Home page
 J. Neurol. Neurosurg. PsychiatryHome page
C. Kilpatrick, M. Cook, A. Kaye, M. Murphy, and Z. Matkovic
Non-invasive investigations successfully select patients for temporal lobe surgery
J. Neurol. Neurosurg. Psychiatry, September 1, 1997; 63(3): 327 - 333.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1995 by AAN Enterprises, Inc.