15-08-2014 | Rolandic cortex surgery - an effective means of treatment?

15 August 2014
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A new study from Germany has underlined the benefits associated with epilepsy surgery of the rolandic and immediate perirolandic cortex, as well as the potential risks of this treatment approach.

Conducted by the University of Bonn, the research comprised a single-centre retrospective study of patients who underwent epilepsy surgery for seizures arising from the rolandic or sensorimotor cortex – a part of the brain controlling sense and movement functions.

Aiming to evaluate both surgical and neurologic outcomes of this technique, while also identifying prognostic factors associated with better seizure outcome, the researchers looked at data from a total of 66 patients who had undergone different surgical treatment techniques.

Results published in the journal Epilepsia revealed that favourable postoperative seizure outcomes were achieved in 64 per cent of the patients who underwent surgery. Of the 42 who were treated successfully, 39 were shown to be completely seizure-free.

The researchers concluded: "The increased risk for postoperative neurologic deficits is higher than in other locations, and this must be discussed with patients in detail prior to surgery. Best postoperative results can be achieved in cases in which a complete resection is possible without damaging eloquent cortical areas."

Posted on Epilepsy Research UK

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