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ISSN 0016-3813 (Impreso)

2013, Número 2

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Gac Med Mex 2013; 149 (2)


Valor pronóstico de los registros intracraneales en la lobectomía temporal anterior con hipocampectomía

Velasco MAL, Aguado CG, Sandoval OL, Vázquez BD

Idioma: Español
Referencias bibliográficas: 38
Paginas: 143-151
Archivo PDF: 853.27 Kb.


RESUMEN

En este trabajo se expone la experiencia obtenida en la Clínica de Epilepsia del Hospital General de México en el uso de electrodos intracraneales para determinar el tejido a resecar en la lobectomía temporal anterior con amigdalohipocampectomía en pacientes portadores de epilepsia del lóbulo temporal mesial con crisis refractarias a fármacos antiepilépticos. Hago un análisis de los datos obtenidos mediante el registro electroencefalográfico invasivo para conocer su impacto en el resultado posquirúrgico inmediato y a largo plazo (hasta 17 años) de la lobectomía temporal en cuanto a la reducción de crisis y las complicaciones quirúrgicas. Se incluyeron 57 pacientes implantados entre los años 1993-2008. De ellos, 48 pacientes (84%) quedaron libres de crisis sin necesidad de medicación antiepiléptica en el primer año posterior a la lobectomía. Cinco pacientes (12%) tuvieron recurrencia después de 5 años de haber sido operados. No hubo complicaciones serias por el uso de electrodos intracraneales per se y las secuelas neurológicas fueron mínimas después de la lobectomía en un paciente. Se concluye que el uso de electrodos intracraneales es efectivo y seguro, contribuyendo a un buen pronóstico posquirúrgico a largo plazo en aquellos pacientes que, de otra forma, hubieran sido excluidos de la posibilidad quirúrgica.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. ILAE/IBE/WHO Global Campaign Against Epilepsy. Out of the Shadows. Geneva: World Health Organization. http://www.who.int/mental_health/ management/globalepilepsycampaign/en/.

  2. Rasmussen TB. Surgical treatment of complex partial seizures: results, lessons, and problems. Epilepsia. 1983;24 Suppl 1:65-76.

  3. Davies KG, Weeks RD. Temporal lobectomy for intractable epilepsy: experience with 58 cases over 21 years. Br J Neurosurg. 1993;7:23-33.

  4. Walczak TS, Radtke RA, McNamara JO, et al. Anterior temporal lobectomy for complex partial seizures: evaluation, results, and long-term follow-up in 100 cases. Neurology. 2000;40:413-8.

  5. Bell ML, Rao S, So EL, et al. Epilepsy surgery outcomes in temporal lobe epilepsy with a normal MRI. Epilepsia. 2009;50:2053-60.

  6. Velasco AL, Boleaga B, Brito F, et al. Absolute and relative predictor values of some non-invasive and invasive studies for the outcome of anterior temporal lobectomy. Arch Med Res. 2000;31:62-74.

  7. Wiebe S, Blume WT, Girvin JP, Eliasziw M; Effectiveness and Efficiency of Surgery for Temporal Lobe Epilepsy Study Group. A randomized, controlled trial of surgery for temporal-lobe epilepsy. N Engl J Med. 2001;345:311-8.

  8. Wyler AR, Hermann BP, Somes G. Extent of medial temporal resection on outcome from anterior temporal lobectomy: a randomized prospective study. Neurosurgery. 1995;37:982-91.

  9. Engel J Jr. Outcome with respect to epileptic seizures. In: Engel J Jr, ed. Surgical treatment of the epilepsies. 1st ed. New York: Raven Press Ltd; 1987. p. 553-69.

  10. Yoon HH, Kwon HL, Mattson RH, Spencer DD, Spencer SS. Long-term seizure outcome in patients initially seizure-free after resective epilepsy surgery. Neurology. 2003;61:445-50.

  11. Foldvary N, Nashold B, Mascha E, et al. Seizure outcome after temporal lobectomy for temporal lobe epilepsy: a Kaplan-Meier survival analysis. Neurology. 2000;54:630-4.

  12. Cascino GD, Jack CR Jr, Parisi JE, et al. Magnetic resonance imagingbased volume studies in temporal lobe epilepsy: pathological correlations. Ann Neurol. 1991;30:31-6.

  13. Williamson PD, French JA, Thadani VM, et al. Characteristics of medial temporal lobe epilepsy: II. Interictal and ictal scalp electroencephalography, neuropsychological testing, neuroimaging, surgical results, and pathology. Ann Neurol. 1993;34:781-7.

  14. Binder JR, Sabsevitz DS, Swanson SJ, Hammeke TA, Raghavan M, Mueller WM. Use of preoperative functional MRI to predict verbal memory decline after temporal lobe epilepsy surgery. Epilepsia. 2008;49:1377-94.

  15. Spencer SS, Spencer DD, Williamson PD, Matison RH. The localizing value of depth electroencephalography in 32 patients with refractory epilepsy. Ann Neurol. 1982;12:248-56.

  16. Awad IA, Katz A, Hahn JF, Kong AK, Ahl J, Lüders H. Extent of resection in temporal lobectomy for epilepsy. I. Interobserver analysis and correlation with seizure outcome. Epilepsia. 1989;30:756-62.

  17. Urasaki E, Yokota A, Akamatsu N, Tsuji S. Surgical treatment of medically intractable temporal lobe epilepsy – Fundamental technique and tips for implantation of intracranial electrodes and tailored temporal lobectomy. J UOEH. 2004;26:303-14.

  18. Adada B. Selective amygdalohippocampectomy via the transsylvian approach. Neurosurg Focus. 2008;25:E5.

  19. Wheatley BM. Selective amygdalohippocampectomy: the trans-middle temporal gyrus approach. Neurosurg Focus. 2008;25:E4.

  20. Engel J Jr. Outcome with respect to epileptic seizures. In: Engel J Jr, ed. 1st ed. Surgical treatment of the epilepsies. New York: Raven Press Ltd; 1987. p. 553-69.

  21. Velasco AL, Wilson CL, Babb TL, Engel J Jr. Functional and anatomic correlates of two frequently observed temporal lobe seizure-onset patterns. Neural Plast. 2000;7:49-63.

  22. Chung MY, Walczak TS, Lewis DV, Dawson DV, Radtke R. Temporal lobectomy and independent bitemporal interictal activity: what degree of lateralization is sufficient? Epilepsia. 1991;32:195-201.

  23. Kwan P, Arzimanoglou A, Berg AT, et al. Definition of drug resistant epilepsy: consensus proposal by the ad hoc task force of the ILAE commission on therapeutic strategies. Epilepsia. 2009;51:1077-2010.

  24. Wiebe S, Blume WT, Girvin JP, Elasziw M; Effectiveness and Efficiency of Surgery for Temporal Lobe Epilepsy Study Group. A randomized, controlled trial of surgery for temporal-lobe epilepsy. A randomised, controlled trial of surgery for temporal lobe epilepsy. N Engl J Med. 2001;345:311-8.

  25. Engel J Jr, Wiebe S, French J, et al.; Quality Standards Committee of the American Academy of Neurology, American Epilepsy Society, American Association of Neurological Surgeons. 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. 2003;60:538-47.

  26. Kwan P, Sperling MR. Refractory seizures: try additional antiepileptic drugs (after two have failed) or go directly to early surgery evaluation? Epilepsia. 2009;50 Suppl 8:57-62.

  27. Spencer S, Huh L. Outcomes of epilepsy surgery in adults and children. Lancet Neurol. 2008;7:525-37.

  28. Jobst BC. Treatment algorithms in refractory partial epilepsy. Epilepsia. 2009;50 Suppl 8:51-6.

  29. Vossler DG, Kraemer KL, Haltiner AM, et al. Intracranial EEG in temporal lobe epilepsy: location of seizure onset relates to degree of hippocampal pathology. Epilepsia. 2005;45:497-503.

  30. Najm IM, Naugle R, Busch RM, Bingaman W, Lüders H. Definition of the epileptogenic zone in a patient with non-lesional temporal lobe epilepsy arising from the dominant hemisphere. Epileptic Disord. 2006;8(Suppl): 27-35.

  31. Afra P, Jouny CC, Bergey GK. Duration of complex partial seizures: an intracranial EEG study. Epilepsia. 2008;49:677-84.

  32. Carrete E, Vonck K, De Herdt V, Van Dycke, et al. Predictive factors for outcome of invasive video-EEG monitoring and subsequent resective surgery in patients with refractory epilepsy. Clin Neurol Neurosurg. 2010;112:118-26.

  33. Engel J Jr. Epileptogenesis. In: Seizures and epilepsy. Philadelphia: F.A. Davies Co; 1989. p. 221-39.

  34. Gale K. Subcortical structures and pathways involved in convulsive seizure generation. J Clin Neurophysiol. 1992;9:264-77.

  35. Halonen T, Tortorella A, Zrebeet H, Gale K. Posterior piriform and perirhinal cortex relay seizures evoked from the area tempestas: role of excitatory and inhibitory amino acid receptors. Brain Res. 1994; 652:145-8.

  36. Bartolomei F, Chauvel P, Wendling F. Epileptogenicity of brain structures in human temporal lobe epilepsy: a quantified study from intracerebral EEG. Brain. 2008;131:1818-30.

  37. Velasco AL, Velasco F, Velasco M, Trejo D, Castro G, Carrillo-Ruiz JD. Electrical stimulation of the hippocampal epileptic foci for seizure control: a double-blind, long-term follow-up study. Epilepsia. 2007;48:1895-903.

  38. Boon P, Vonck K, et al. Deep brain stimulation in patients with refractory temporal lobe epilepsy. Epilepsia. 2007;48:1543-50.




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