RT Journal Article
SR Electronic
T1 Electrocorticography in the management of surgically treated epileptic patients
JF Neurosciences Journal
JO Neurosciences (Riyadh)
FD Prince Sultan Military Medical City
SP 22
OP 25
VO 5
IS 1
A1 Abdelkarim A. Al-Qudah
A1 Ahmad F. Tamimi
A1 Sobhi Ghanem
YR 2000
UL http://nsj.org.sa/content/5/1/22.abstract
AB OBJECTIVE: To report our experience on 8 patients with mean age of onset of seizures of 8 years, who had intra-operative electrocorticography monitoring during the surgical treatment of their medically intractable partial epilepsy.METHODS: Post-resection electrocorticography grades were according to Jay et al and seizure outcome was a according to Kobayashi et al grades.RESULTS: Five patients had temporal lobe surgery and 3 patients had extra temporal surgery. Four patients had post-resection electrocorticography grade A (no residual epileptic activity), two of them had seizure outcome grade 1 (free of seizures) and the other 2 had grade 11 (free of seizures on medication). The other 4 patients had post-resection electrocorticography grade B (minimal residual epileptic activity) and all had seizure outcome grade 11 except one patient who had grade 111 (more than 50% reduction in seizure frequency).CONCLUSION: Despite the small size of our study, our results suggest that intra-operative electrocorticography may be an important tool in the surgical management of medically intractable epilepsy.