Please use this identifier to cite or link to this item: http://ri.ufs.br/jspui/handle/riufs/1970
Document Type: Artigo
Title: Gross-total resection of temporal low grade gliomas is a critically important factor in achieving seizure-freedom
Other Titles: A ressecção total de gliomas temporais de baixo grau é um importante fator no controle das crises convulsivas
Authors: Meguins, Lucas Crociati
Adry, Rodrigo Antonio Rocha da Cruz
Silva Junior, Sebastião Carlos da
Oliveira, Jean Goncalves de
Morais, Dionei Freitas de
Pereira, Carlos Umberto
Araujo Filho, Gerardo Maria de
Marques, Lúcia Helena Neves
Issue Date: Nov-2015
Abstract: Objective: To present a surgical series of patients with low grade temporal gliomas causing intractable epilepsy, focusing on long-term seizure outcome. Method: A retrospective study was conducted with patients with temporal low-grade gliomas (LGG). Results: Sixty five patients with were operated in our institution. Males were more affected than females and the mean age at surgery was 32.3 ± 8.4 (9-68 years). The mean age at seizure onset was 25.7 ± 9.2 (11-66 years). Seizure outcome was classified according with Engel classification. After one year of follow up, forty two patients (64.6%) were Engel I; seventeen (26.2%) Engel II; four (6.2%) Engel III and two (3.1%) Engel IV. Statistically significant difference in seizure outcome was obtained when comparing the extension of resection. Engel I was observed in 39 patients (69.6%) with total resection and in only 3 (33.3%) patients with partial resection. Conclusion: Gross-total resection of temporal LGGs is a critically important factor in achieving seizure-freedom._________________________________________________________________________________________ RESUMO: Objetivo: Apresentar uma série cirúrgica de pacientes com gliomas temporais de baixo grau, causando epilepsia de difícil controle. Método: Estudo retrospectivo de pacientes com diagnóstico de glioma temporal de baixo grau temporais. Resultados: 65 pacientes com foram operados em nossa instituição. A média de idade de início das crises foi de 25,7 ± 9,2 (11-66 anos). Após um ano de acompanhamento, quarenta e dois pacientes (64,6%) estavam Engel I; dezessete (26,2%) Engel II; quatro (6,2%) Engel III e dois (3,1%) Engel IV. Houve diferença estatisticamente significativa no resultado do controle das crises quando se compara a extensão da ressecção. Engel I foi observada em 39 pacientes (69,6%) com a ressecção total e em apenas 3 (33,3%) pacientes com ressecção parcial. Conclusão: A ressecção total de glioma temporal de baixo grau temporais é um fator extremamente importante no controle das crises.
Keywords: Temporal low-grade gliomas
Intractable epilepsy
Long-term seizure outcome
Glioma temporal de baixo grau
Epilepsia de difícil controle
Controle das crises
ISSN: 1678-4227
Publisher / Institution : Academia Brasileira de Neurologia - ABNEURO
Citation: MEGUINS, L. C. et al. Gross-total resection of temporal low grade gliomas is a critically important factor in achieving seizure-freedom. Arquivos de Neuro-Psiquiatria, São Paulo, v. 73, n. 11, p. 924-928, nov. 2015. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015001100924>. Acesso em: 23 fev. 2017.
License: Creative Commons Atribuição 4.0 Internacional
URI: https://ri.ufs.br/handle/riufs/1970
Appears in Collections:DME - Artigos de periódicos

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