Epilepsy Surgery, Report of 158 cases

Abstract

Background: Epilepsy surgery has been performed in western countries for over a hundred and fifty years. In Iran this operation in classic form started since 2007 in Kashani Hospital, Isfahan. This center has been approved by the ministry of health. Statistically about 1 percent of the population have epileptic seizure 20% of which are intractable and about half of this can be helped by operation. In Iran with the population of 7000000 there are about 75000 patients with intractable seizure   can be helped by operation.

Materials and Methods: We operated on 158 cases for past 6 years (from 2007-2013) 37.3 % female, 62.7 % male with the mean age being 25 years, 90% adult and 10% children, 76% in temporal region and 24% extra temporal. Type of pathology: mesial temporal sclerosis 39%, ganglioglioma 7.5%, Cavernoma 6%, astrocytoma 7.5%, DNET 4%, cortical dysplasia 10%, gliosis 11%, heterotopia 1%, others 6% and 6% of MTS were reported normal tissue. Type of operation: selective amygdalo hippocampectomy 48.5%, lesionectomy 47%, V.N.S. 2%, corpus callosotomy 2%.

Results: (33 months follow up) 88 % good result (ENGLES 1 and 2). Morbidity and mortality: no mortality, 2 patient transient Hemiparesis, 2 patients transient Hemianopia, 2 patients transient 3rd nerve paresis, 3 patients transient dysphasia, 2 patients depression and acute psychosis, 4 patient permanent hemiparesis.

Conclsuion: Epilepsy surgery is a successful for treatment of resistance seizures.