HE Wenbin , ZHAO Mingrui , SHEN Yunjuan , LIU Yali , SHI Xuefeng , SHI Zhe , WANG Xiaoqiang , YANG Wenzhen , LAN Zhengbo , HAN Yanming , ZHANG Xinding
  • Department of Neurosurgery and Laboratory of Neurosurgery, Lanzhou University Second Hospital; Institute of Neurology, Lanzhou University, Lanzhou 730030, China;
ZHANG Xinding, Email: zhangxind@lzu.edu.cn
Frontal lobe epilepsy; Surgical treatment; Prognosis; Predictive factors
10.7507/2096-0247.20210036
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Objective To explore the long-term seizure outcome and prognostic factors of patients with frontal lobe epilepsy after surgery, so as to guide the evaluation of treatment and provide clinical reference.Methods  This study retrospectively analyzed the clinical data of patients with frontal lobe epilepsy undergoing surgical treatment by multimodal epilepsy surgical evaluation system in the functional neurosurgery of the Second Hospital of Lanzhou University from January 2016 to February 2020, there were 17 males and 13 females, the age of onset of epileptic seizures was (16.30±10.65) years, the age at the time of surgical treatment was (23.98±11.04) years, and the duration of seizures was (7.68±6.37) years. The multimodal epilepsy surgical evaluation system includes phase I non-invasive evaluation and phase II invasive evaluation. The collected research variables were analyzed by descriptive statistics and multivariate logistic regression analysis to evaluate the importance of each research variable to the prognosis of epilepsy surgery, and to determine the potential prognostic factors, so as to explore the epilepsy control situation of patients with frontal lobe epilepsy after surgery and the influence of each variable that may affect the prognosis of epilepsy on the prognosis.Results The analysis of the clinical data of 30 patients with frontal lobe epilepsy showed that the good prognosis rate after FLE surgery (Engel I) was 70%, and the average follow-up was (29.9±14.1) months. The results of multivariate logistic regression analysis showed that the duration of epilepsy, the frequency of seizures, the presence or absence of stereotactic EEG (SEEG) monitoring, whether the lesion was completely removed, and whether acute postoperative seizures occurred were independent predictors of prognosis (P<0.05).Conclusion This study found that the long duration of epilepsy, frequent seizures, and postoperative acute seizures are significantly related to poor prognosis. The application of SEEG and complete resection of epileptic lesions can significantly improve the prognosis of FLE surgery.

Citation： HE Wenbin, ZHAO Mingrui, SHEN Yunjuan, LIU Yali, SHI Xuefeng, SHI Zhe, WANG Xiaoqiang, YANG Wenzhen, LAN Zhengbo, HAN Yanming, ZHANG Xinding. Analysis of the curative effect and predictive factors of frontal lobe epilepsy after surgery. Journal of Epilepsy, 2021, 7(3): 234-240. doi: 10.7507/2096-0247.20210036 Copy

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