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Surgical Outcome Following Resection of Rolandic Focal Cortical Dysplasia by Rani A. Sarkis; Lara E. Jehi; William E. Bingaman; Imad M. Najm is a Medicine article available to read on EtoBox.

What is Surgical Outcome Following Resection of Rolandic Focal Cortical Dysplasia about?

Objective: This study evaluates surgical outcomes in patients with balloon cell containing, focal cortical dysplasia (FCD type IIB) in the peri-rolandic region. We also address the question of, postoperative seizure worsening after an incomplete resection in this patient population. Methods: We retrospectively reviewed the clinical data on patients with pathologically proven FCD, who underwent epilepsy surgery over a 12-year period. Seizure outcomes were compared between, patients with rolandic FCD and non-rolandic frontal FCD. Results: Seventeen patients with rolandic and 22 patients with non-rolandic FCD were identified. Twelve patients were found to have type IIB lesions (8 rolandic). Seizure freedom at last follow up was, achieved in 59% of the rolandic subset of patients (including 75% seizure freedom in the rolandic type, IIB cases, as opposed to 44% of rolandic non-type IIB and 75% of type IIB outside the rolandic, region). New postoperative neurological deficits occurred in 59% of the rolandic subgroup and were, independent of pathology. Three patients (3/8) with incompletely resected rolandic type IIB lesions, developed status epilepticus postoperatively; all 3 patients be

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Author

Rani A. Sarkis; Lara E. Jehi; William E. Bingaman; Imad M. Najm

Publisher

Elsevier Science; Elsevier ; Elsevier BV (ISSN 0920-1211)

Published

2010

Language

EN

Field

Medicine (Health Sciences)