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" Prognostic value of electroencephalographic ictal patterns in postsurgical outcome of adult patients with drug resistant focal epilepsy, Kashani hospital, 2011-2015 "
\ Nasim Tabrizi
; Jafar Mehvari
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Isfahan University of Medical Sciences
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| Document Type
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Latin Dissertation
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| Language of Document
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English
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| Record Number
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112299
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| Doc. No
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T18404
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| Main Entry
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Tabrizi, Nasim
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| Title & Author
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Prognostic value of electroencephalographic ictal patterns in postsurgical outcome of adult patients with drug resistant focal epilepsy, Kashani hospital, 2011-2015\ Nasim Tabrizi
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| College
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Schools, Medical
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| Date
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, 2017
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| Degree
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Fellowship
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| field of study
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Epilepsy
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| Page No
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15 p.: tab
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| Note
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This is a research dissertation with project ID: 395992
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نسیم تبریزی
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| Note
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Electronical
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| Abstract
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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.
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| Added Entry
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Mehvari, Jafar, Thesis advisor
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