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center : Isfahan University of Medical Sciences
Document Type : Latin Dissertation
Language of Document : English
Record Number : 112299
Doc. No : T18404
Main Entry : Tabrizi, Nasim
Title & Author : Prognostic value of electroencephalographic ictal patterns in postsurgical outcome of adult patients with drug resistant focal epilepsy, Kashani hospital, 2011-2015\ Nasim Tabrizi
College : Schools, Medical
Date : , 2017
Degree : Fellowship
field of study : Epilepsy
Page No : 15 p.: tab
Note : This is a research dissertation with project ID: 395992
: نسیم تبریزی
Note : Electronical
Abstract : AbstractBackground: To investigate ictal onset patterns in scalp EEG of patients with temporal lobe epilepsy (TLE) and their prognostic effect on postoperative outcome.Methods: We conducted a retrospective cohort study between 2011 and 2015 in our referral epilepsy surgery center enrolling adult patients with refractory TLE and a visible epileptogenic lesion in MRI, who underwent epilepsy surgery. Demographic, clinical and MRI findings were collected and ictal findings during video-EEG monitoring were reviewed in detail. The correlation between preoperative findings and postsurgical outcome was analyzed.Results: We reviewed 303 seizures of 93 patients. Rhythmic theta (RT) and rhythmic spike/sharp and wave were respectively the most common initial ictal pattern and late significant discharges. Engel class I outcome was observed in 88.2% of patients. Female sex, aura, absence of secondary generalization, RT as initial ictal pattern and concordance of ictal-interictal EEG findings were correlated with favorable 1-year postsurgical outcome.Conclusion: Preoperative clinical and EEG findings can provide valuable information regarding postsurgical prognosis in TLE patients. 
Added Entry : Mehvari, Jafar, Thesis advisor
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