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NEUROLOGY 1987;37:1634
© 1987 American Academy of Neurology

Clinical outcome after complete or partial cortical resection for intractable epilepsy

E. Wyllie, MD, H. Lüders, MD, PhD, H. H. Morris, III, MD, R. P. Lesser, MD, D. S. Dinner, MD, J. Hahn, MD, M. L. Estes, MD, A. D. Rothner, MD, G. Erenberg, MD, R. Cruse, DO and D. Friedman, RN, CS

From the Departments of Neurology (Dn. Wyllie, Lüders, Morris, Lesser, Dinner, Rothner, Erenberg, CruSe, and Ms. Friedman), Neurosurgery (Dr. Hahn), and Pathology (Dr. Estes), The Cleveland Clinic Foundation, Cleveland, OH.

This is the first epilepsy surgery series to analyze the definition of "completeness" of resection, based solely on results of chronic scalp and subdural EEG recording. When patients had complete removal of all cortical areas with ictal and interictal epileptiform discharges, the clinical outcome was usually good. When areas with epileptiform discharges were left behind, good outcome was significantly less frequent. This correlation between complete resection and good outcome was independent of the presence or absence of CT-detected structural lesions or sharp waves on post-resection electrocorticography. These results support completeness of resection, defined by prolonged extraoperative EEG, as an important factor in seizure surgery.

Address correspondence and reprint requests to Dr. Wyllie, Department of Neurology, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44106.

Received September 8, 1986. Accepted for publication in final form January 16, 1987.




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