OBJECTIVES: To determine predictors for surgical outcome in the presurgical assessment of @entity4940 . METHODS: Thirty seven @entity1 were operated on for @entity4940 between 1975 and 1996. Their medical records were reviewed for ictal semiology, age at onset, duration of the @entity302 , age at operation, preoperative interictal and ictal encephalographic findings, and abnormalities on neuroimaging and neuropsychological testing. In addition, type of resection and pathology were compared with surgical outcome. RESULTS: Univariate statistical analysis showed that the presence of a focal abnormality on neuroimaging was associated with favourable outcome. The presence of the following ictal findings was associated with poor outcome: autonomic manifestations, eye deviation, head version contralateral to the operated side, and bilateral or multifocal ictal onset. Fifteen @entity1 had secondarily generalised interictal discharges and, interestingly, their presence was not associated with poor outcome. Multivariate logistic regression showed that the presence of a focal abnormality on neuroimaging was significantly associated with a favourable outcome while contralateral head version was the only variable significantly associated with poor surgical outcome. CONCLUSIONS: A focal abnormality on neuroimaging was the only variable which was significantly associated with a favourable surgical outcome, whereas contralateral head version was the most significant predictor for a poor outcome. The presence of generalised discharges before surgery was not associated with poor outcome.

Prognostic factors in presurgical assessment of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity302 :: ('MESH:D004827', 'Disease') :: ['epilepsy'] @entity4940 :: ('MESH:D017034', 'Disease') :: ['frontal lobe epilepsy']
@entity4940 :: (MESH:D017034,Disease) :: ['frontal lobe epilepsy']
