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Extent of neocortical resection and surgical outcome of epilepsy: Intracranial EEG analysis

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dc.contributor.authorKim, Dong Wook-
dc.contributor.authorKim, Hyun Kyung-
dc.contributor.authorLee, Sang Kun-
dc.contributor.authorChu, Kon-
dc.contributor.authorChung, Chun Kee-
dc.date.accessioned2012-06-18T05:23:21Z-
dc.date.available2012-06-18T05:23:21Z-
dc.date.issued2010-06-
dc.identifier.citationEPILEPSIA; Vol.51 6; 1010-1017ko_KR
dc.identifier.issn0013-9580-
dc.identifier.urihttps://hdl.handle.net/10371/77119-
dc.description.abstractPurpose: Intracranial electroencephalography (EEG) monitoring is an important process in the presurgical evaluation for epilepsy surgery. The objective of this study was to identify the ideal resection margin in neocortical epilepsy guided by subdural electrodes. For this purpose, we investigated the relationship between the extent of resection guided by subdural electrodes and the outcome of epilepsy surgery. Methods: Intracranial EEG studies were analyzed in 177 consecutive patients who had undergone resective epilepsy surgery. We reviewed various intracranial EEG findings and resection extent. We analyzed the relationships between the surgical outcomes and intracranial EEG factors: the frequency, morphology, and distribution of ictal-onset discharges, the propagation speed, and the time lag between clinical and intracranial ictal onset. We also investigated whether the extent of resection, including the area showing ictal rhythm and various interictal abnormalities-such as frequent interictal spikes, pathologic delta waves, and paroxysmal fast activity-influenced the surgical outcome. Results: Seventy-five patients (42%) were seizure free. A seizure-free outcome was significantly associated with a resection that included the area showing ictal spreading rhythm during the first 3 s or included all the electrodes showing pathologic delta waves or frequent interictal spikes. However, subgroup analysis revealed that the extent of resection did not affect the surgical outcome in lateral temporal lobe epilepsy. Conclusions: The extent of resection is closely associated with surgical outcome, especially in extratemporal lobe epilepsy. Resection that includes the area with total pathologic delta waves and frequent interictal spikes predicts a good surgical outcome.ko_KR
dc.language.isoenko_KR
dc.publisherWILEY-BLACKWELLko_KR
dc.subjectIntracranial EEGko_KR
dc.subjectInterictal abnormalitiesko_KR
dc.subjectExtent of resectionko_KR
dc.subjectEpilepsyko_KR
dc.subjectSurgical outcomeko_KR
dc.titleExtent of neocortical resection and surgical outcome of epilepsy: Intracranial EEG analysisko_KR
dc.typeArticleko_KR
dc.contributor.AlternativeAuthor김동욱-
dc.contributor.AlternativeAuthor김현경-
dc.contributor.AlternativeAuthor이상건-
dc.contributor.AlternativeAuthor추곤-
dc.contributor.AlternativeAuthor정천기-
dc.identifier.doi10.1111/j.1528-1167.2010.02567.x-
dc.citation.journaltitleEPILEPSIA-
dc.description.citedreferenceJacobs J, 2008, EPILEPSIA, V49, P1893, DOI 10.1111/j.1528-1167.2008.01656.x-
dc.description.citedreferenceBartolomei F, 2008, BRAIN, V131, P1818, DOI 10.1093/brain/awn111-
dc.description.citedreferenceSpencer S, 2008, LANCET NEUROL, V7, P525-
dc.description.citedreferenceStefan H, 2008, CLIN NEUROPHYSIOL, V119, P642, DOI 10.1016/j.clinph.2007.11.046-
dc.description.citedreferenceFauser S, 2008, J NEUROL NEUROSUR PS, V79, P103, DOI 10.1136/jnnp.2007.116038-
dc.description.citedreferenceLin JJ, 2007, CEREB CORTEX, V17, P2007, DOI 10.1093/cercor/bhl109-
dc.description.citedreferenceWiddess-Walsh P, 2007, NEUROLOGY, V69, P660-
dc.description.citedreferenceTHADANI VM, 2007, CONTINUUM LIFELONG L, V13, P152-
dc.description.citedreferenceRampp S, 2006, CLIN NEUROPHYSIOL, V117, P2111, DOI 10.1016/j.clinph.2006.02.023-
dc.description.citedreferenceWiddess-Walsh P, 2006, J NEUROIMAGING, V16, P185, DOI 10.1111/j.1552-6569.2006.00025.x-
dc.description.citedreferenceJirsch JD, 2006, BRAIN, V129, P1593, DOI 10.1093/brain/awl085-
dc.description.citedreferenceYun CH, 2006, EPILEPSIA, V47, P574-
dc.description.citedreferenceLee SK, 2005, ANN NEUROL, V58, P525, DOI 10.1002/ana.20569-
dc.description.citedreferenceTellez-Zenteno JF, 2005, BRAIN, V128, P1188, DOI 10.1093/brain/awh449-
dc.description.citedreferenceFauser S, 2004, BRAIN, V127, P2406, DOI 10.1093/brain/awh277-
dc.description.citedreferenceTonini C, 2004, EPILEPSY RES, V62, P75, DOI 10.1016/j.eplepsyres.2004.08.006-
dc.description.citedreferenceBernasconi N, 2004, NEUROIMAGE, V23, P717, DOI 10.1016/j.neuroimage.2004.06.015-
dc.description.citedreferenceCohen-Gadol AA, 2004, J NEUROSURG, V101, P55-
dc.description.citedreferenceMueller SG, 2004, EPILEPSIA, V45, P355-
dc.description.citedreferenceThadani VM, 2004, NEUROSURG REV, V27, P27, DOI 10.1007/s10143-003-0289-2-
dc.description.citedreferenceEngel J, 2003, NEUROLOGY, V60, P538-
dc.description.citedreferenceSrikijvilaikul T, 2003, EPILEPSIA, V44, P1420-
dc.description.citedreferenceSPERLING MR, 2003, CURRENT PRACTICE CLI, P639-
dc.description.citedreferenceTassi L, 2002, BRAIN, V125, P1719-
dc.description.citedreferenceBartolomei F, 2001, CLIN NEUROPHYSIOL, V112, P1746-
dc.description.citedreferenceHennessy MJ, 2001, ACTA NEUROL SCAND, V103, P344-
dc.description.citedreferenceJung WY, 1999, J CLIN NEUROPHYSIOL, V16, P419-
dc.description.citedreferenceBautista RED, 1999, EPILEPSIA, V40, P880-
dc.description.citedreferenceBertram EH, 1998, EPILEPSY RES, V32, P194-
dc.description.citedreferenceBERKOVIC SF, 1995, NEUROLOGY, V45, P1358-
dc.description.citedreferenceHENRY TR, 1993, ARCH NEUROL-CHICAGO, V50, P582-
dc.description.citedreferenceJENNUM P, 1993, ACTA NEUROL SCAND, V87, P434-
dc.description.citedreferenceENGEL J, 1993, SURG TREATMENT EPILE, P609-
dc.description.citedreferenceCHEE MWL, 1993, ARCH NEUROL-CHICAGO, V50, P45-
dc.description.tc7-
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Neurology (신경과학교실)Journal Papers (저널논문_신경과학교실)
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