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. 2018 Jul 13:9:134.
doi: 10.4103/sni.sni_99_18. eCollection 2018.

Surgical and neurological complications in temporal lobe epilepsy surgery in modern era

Merdin L Ahmedov  1 , Taha S Korkmaz  1 , Rahsan Kemerdere  1 , Seher N Yeni  2 , Taner Tanriverdi  1
Affiliations

Surgical and neurological complications in temporal lobe epilepsy surgery in modern era

Merdin L Ahmedov et al. Surg Neurol Int. .

Abstract

Background: Temporal lobe epilepsy is the most common form of focal epilepsy, and surgical treatment has been proven to be an effective and safe management. Despite its safety, it is important to know that some complications and/or even death can be seen after surgery. Neurosurgeons should be able to precisely inform epilepsy surgery candidates about the possible unwanted/unexpected conditions after surgery.

Methods: Fifty-three patients who underwent anterior temporal lobe resection due to temporal lobe epilepsy by a single surgeon were investigated retrospectively regarding postoperative surgical and neurological complications.

Results: Overall complication rate was found to be 19%, surgical complications comprised 13.2% whereas neurological complications were 5.8%. Three patients underwent a second surgery whereas the rest had medical treatment or recovered spontaneously. Fortunately persistent complication rate was found to be 0%, and there was no mortality.

Conclusions: Anterior temporal lobe resection is a safe and very effective surgical modality for the treatment of temporal lobe epilepsy. However, unexpected complications may be possible in this modern era and a surgeon should trust in him/herself not in modern equipments.

Keywords: Surgical complication; epilepsy; surgery; temporal lobe.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Distribution of the complications
Figure 2
Figure 2
Grading of complications according to the grading scale described within the manuscript
See this image and copyright information in PMC

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