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Research ArticleOriginal Article
Open Access

The role of brain magnetic resonance imaging on the timing of antiepileptic drugs withdrawal following mesial temporal lobe epilepsy surgery

Miad Albalawi, Fawzi Babtain, Saleh Baeesa, Youssef Al- Said and Khalid Alqadi
Neurosciences Journal July 2021, 26 (3) 270-276; DOI: https://doi.org/10.17712/nsj.2021.3.20200182
Miad Albalawi
From the Department of Neurosciences (Albalawi, Babtain, Baeesa, Al- Said, Alqadi), King Faisal Specialist Hospital and Research Centre, and from the Division of Neurosurgery (Baeesa), Department of Surgery, King Abdulaziz University, Jeddah,Saudi Arabia
MD
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  • For correspondence: [email protected]
Fawzi Babtain
From the Department of Neurosciences (Albalawi, Babtain, Baeesa, Al- Said, Alqadi), King Faisal Specialist Hospital and Research Centre, and from the Division of Neurosurgery (Baeesa), Department of Surgery, King Abdulaziz University, Jeddah,Saudi Arabia
MD
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Saleh Baeesa
From the Department of Neurosciences (Albalawi, Babtain, Baeesa, Al- Said, Alqadi), King Faisal Specialist Hospital and Research Centre, and from the Division of Neurosurgery (Baeesa), Department of Surgery, King Abdulaziz University, Jeddah,Saudi Arabia
MD, FRCSC
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Youssef Al- Said
From the Department of Neurosciences (Albalawi, Babtain, Baeesa, Al- Said, Alqadi), King Faisal Specialist Hospital and Research Centre, and from the Division of Neurosurgery (Baeesa), Department of Surgery, King Abdulaziz University, Jeddah,Saudi Arabia
MD, FRCPC
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Khalid Alqadi
From the Department of Neurosciences (Albalawi, Babtain, Baeesa, Al- Said, Alqadi), King Faisal Specialist Hospital and Research Centre, and from the Division of Neurosurgery (Baeesa), Department of Surgery, King Abdulaziz University, Jeddah,Saudi Arabia
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    Figure 1

    - Characteristics of MRI brain findings.

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    Figure 2

    - Correlation of seizures retiming of seizures and patient characteristics (*indicated p-value<0.05).

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    Table 1

    - Seizure outcomes after anterior temporal lobectomy.

    CharacteristicNo seizures off medication n=23No seizures on medication n=24Seizures on medication n=17P-value
    Sex (male)16 (70%)11 (46%)12 (71%)NS
    Mean age at epilepsy surgery33 years36 years32 yearsNS
    Baseline median of monthly seizures444.25NS
    Presence of febrile convulsions11 (48%)6 (25%)5 (29%)NS
    Median number of AEDs22.52NS
    Mean time to start tapering AEDs7 months10 months24 months<0.01
    Mean time to discontinue AEDs24 months60 months72 months<0.01
    MRI (Abnormal)23 (100%)21 (88%)9 (53%)<0.011
    EEG (Unilateral IEDs)21 (91%)16 (67%)9 (53%)<0.012
    MTS in pathology15 (65%)14 (58%)11 (65%)NS
    • ↵ 1 Compared to the group who had seizures and were on medications,

    • ↵ 2 Compared to the group who had seizures and were on medications

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Neurosciences Journal: 26 (3)
Neurosciences Journal
Vol. 26, Issue 3
1 Jul 2021
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The role of brain magnetic resonance imaging on the timing of antiepileptic drugs withdrawal following mesial temporal lobe epilepsy surgery
Miad Albalawi, Fawzi Babtain, Saleh Baeesa, Youssef Al- Said, Khalid Alqadi
Neurosciences Journal Jul 2021, 26 (3) 270-276; DOI: 10.17712/nsj.2021.3.20200182

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The role of brain magnetic resonance imaging on the timing of antiepileptic drugs withdrawal following mesial temporal lobe epilepsy surgery
Miad Albalawi, Fawzi Babtain, Saleh Baeesa, Youssef Al- Said, Khalid Alqadi
Neurosciences Journal Jul 2021, 26 (3) 270-276; DOI: 10.17712/nsj.2021.3.20200182
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