Postoperative Quality of Life Outcome and Employment in Patients Undergoing Resection of Epileptogenic Lesions Detected by Magnetic Resonance Imaging

The long-term postoperative improvement of quality of life (QOL) and employment were investigated in patients undergoing resection of epileptogenic lesions detected by magnetic resonance (MR) imaging to identify the associated preoperative factors. Thirty of 47 patients who underwent lesionectomy be...

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Published inNeurologia medico-chirurgica Vol. 49; no. 7; pp. 281 - 286
Main Authors MORITAKE, Kouzo, MIKUNI, Nobuhiro, AKIYAMA, Yasuhiko, NAGAI, Hidemasa, MARUYAMA, Nobuyuki, TAKADA, Daikei, DAISU, Mitsuhiro, NAGASAKO, Noriko, HASHIMOTO, Nobuo
Format Journal Article
LanguageEnglish
Japanese
Published Japan The Japan Neurosurgical Society 2009
THE JAPAN NEUROSURGICAL SOCIETY
Subjects
Adolescent
Adult
Age of Onset
Cerebral Cortex - pathology
Cerebral Cortex - surgery
Diagnosis, Computer-Assisted
Employment
Epilepsy - complications
Epilepsy - pathology
Epilepsy - psychology
Epilepsy - surgery
Female
Follow-Up Studies
Functional Laterality
Humans
long-term outcome
magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Middle Aged
Neurosurgery - instrumentation
Neurosurgery - methods
quality of life
Quality of Life - psychology
Retrospective Studies
Seizures - complications
Seizures - pathology
Seizures - prevention & control
Seizures - psychology
Temporal Lobe - pathology
Temporal Lobe - surgery
Treatment Outcome
Young Adult
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Abstract The long-term postoperative improvement of quality of life (QOL) and employment were investigated in patients undergoing resection of epileptogenic lesions detected by magnetic resonance (MR) imaging to identify the associated preoperative factors. Thirty of 47 patients who underwent lesionectomy between 1987-2001 replied to questionnaires. Patients with extratemporal resection outnumbered those with temporal lobe resection. The mean follow-up period was 12.4 ± 3.7 years. An arbitrary score for quantitatively assessing QOL was assigned. The mean increases in QOL score points were significantly higher in the late childhood onset group than those in the early childhood onset group, and were also significantly higher in the temporal resection group and extratemporal resection of non-dysplastic cortical pathology group than in the extratemporal resection of dysplastic cortical pathology group. Postoperative QOL improvement and occupational status of patients depended on the completeness of seizure control. Resection of lesions detected by MR imaging in patients with intractable epilepsy resulted in effective long-term QOL improvement and postoperative occupational status. Favorable outcome was related mainly to the pathology of the epileptogenic lesions, whether the lesion site was temporal or extratemporal, and the completeness of seizure control.
AbstractList The long-term postoperative improvement of quality of life (QOL) and employment were investigated in patients undergoing resection of epileptogenic lesions detected by magnetic resonance (MR) imaging to identify the associated preoperative factors. Thirty of 47 patients who underwent lesionectomy between 1987-2001 replied to questionnaires. Patients with extratemporal resection outnumbered those with temporal lobe resection. The mean follow-up period was 12.4 +/- 3.7 years. An arbitrary score for quantitatively assessing QOL was assigned. The mean increases in QOL score points were significantly higher in the late childhood onset group than those in the early childhood onset group, and were also significantly higher in the temporal resection group and extratemporal resection of non-dysplastic cortical pathology group than in the extratemporal resection of dysplastic cortical pathology group. Postoperative QOL improvement and occupational status of patients depended on the completeness of seizure control. Resection of lesions detected by MR imaging in patients with intractable epilepsy resulted in effective long-term QOL improvement and postoperative occupational status. Favorable outcome was related mainly to the pathology of the epileptogenic lesions, whether the lesion site was temporal or extratemporal, and the completeness of seizure control.
The long-term postoperative improvement of quality of life (QOL) and employment were investigated in patients undergoing resection of epileptogenic lesions detected by magnetic resonance (MR) imaging to identify the associated preoperative factors. Thirty of 47 patients who underwent lesionectomy between 1987-2001 replied to questionnaires. Patients with extratemporal resection outnumbered those with temporal lobe resection. The mean follow-up period was 12.4 ± 3.7 years. An arbitrary score for quantitatively assessing QOL was assigned. The mean increases in QOL score points were significantly higher in the late childhood onset group than those in the early childhood onset group, and were also significantly higher in the temporal resection group and extratemporal resection of non-dysplastic cortical pathology group than in the extratemporal resection of dysplastic cortical pathology group. Postoperative QOL improvement and occupational status of patients depended on the completeness of seizure control. Resection of lesions detected by MR imaging in patients with intractable epilepsy resulted in effective long-term QOL improvement and postoperative occupational status. Favorable outcome was related mainly to the pathology of the epileptogenic lesions, whether the lesion site was temporal or extratemporal, and the completeness of seizure control.
[Abstract] The long-term postoperative improvement of quality of life (QOL) and employment were investigated in patients undergoing resection of epileptogenic lesions detected by magnetic resonance (MR) imaging to identify the associated preoperative factors. Thirty of 47 patients who underwent lesionectomy between 1987-2001 replied to questionnaires. Patients with extratemporal resection outnumbered those with temporal lobe resection. The mean follow-up period was 12.4±3.7 years. An arbitrary score for quantitatively assessing QOL was assigned. The mean increases in QOL score points were significantly higher in the late childhood onset group than those in the early childhood onset group, and were also significantly higher in the temporal resection group and extratemporal resection of non-dysplastic cortical pathology group than in the extratemporal resection of dysplastic cortical pathology group. Postoperative QOL improvement and occupational status of patients depended on the completeness of seizure control. Resection of lesions detected by MR imaging in patients with intractable epilepsy resulted in effective long-term QOL improvement and postoperative occupational status. Favorable outcome was related mainly to the pathology of the epileptogenic lesions, whether the lesion site was temporal or extratemporal, and the completeness of seizure control.
Author AKIYAMA, Yasuhiko
TAKADA, Daikei
MORITAKE, Kouzo
MARUYAMA, Nobuyuki
HASHIMOTO, Nobuo
MIKUNI, Nobuhiro
NAGASAKO, Noriko
NAGAI, Hidemasa
DAISU, Mitsuhiro
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/19633398$$D View this record in MEDLINE/PubMed
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CitedBy_id crossref_primary_10_1016_j_yebeh_2018_01_038
crossref_primary_10_2176_nmc_oa2013_0065
crossref_primary_10_1016_j_yebeh_2017_02_029
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Emeritus of Neurosurgery Privat-Dozent in Bioethics University of Sao Paulo Medical School
Kyoto University Graduate School of Medicine
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Snippet The long-term postoperative improvement of quality of life (QOL) and employment were investigated in patients undergoing resection of epileptogenic lesions...
[Abstract] The long-term postoperative improvement of quality of life (QOL) and employment were investigated in patients undergoing resection of epileptogenic...
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SubjectTerms Adolescent
Adult
Age of Onset
Cerebral Cortex - pathology
Cerebral Cortex - surgery
Diagnosis, Computer-Assisted
Employment
Epilepsy - complications
Epilepsy - pathology
Epilepsy - psychology
Epilepsy - surgery
Female
Follow-Up Studies
Functional Laterality
Humans
long-term outcome
magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Middle Aged
Neurosurgery - instrumentation
Neurosurgery - methods
quality of life
Quality of Life - psychology
Retrospective Studies
Seizures - complications
Seizures - pathology
Seizures - prevention & control
Seizures - psychology
Temporal Lobe - pathology
Temporal Lobe - surgery
Treatment Outcome
Young Adult
Title Postoperative Quality of Life Outcome and Employment in Patients Undergoing Resection of Epileptogenic Lesions Detected by Magnetic Resonance Imaging
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https://www.ncbi.nlm.nih.gov/pubmed/19633398
Volume 49
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ispartofPNX Neurologia medico-chirurgica, 2009, Vol.49(7), pp.281-286
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