Prevention and treatment of complications of surgery for temporal lobe epilepsy
Zhai Feng
Luan Guoming
Zhou Jian
Niu Hongchuan
Zhang Yao
Ding Haoran
Sun Weijin
Chen Jiapeng
Abstract：Objective To investigate the incidence and types of complications of surgery for temporal lobe epilepsy and analyze their causes and precautions. Methods Clinical data of 24 unilateral temporal lobe epilepsy patients were analyzed retrospectively, who received anterior temporal lobe and medial structure resection with postoperative complications. Results The hemiplegia occurred in 4 patients, who recovered after symptomatic treatment. The intracranial infection occurred in 8 patients, seven recovered after lumbar puncture and 1 after excision of brain abscess. The peripheral facial paralysis occurred in 2 patients and temporal muscle atrophy in 3, who had no improvement 1 year after surgery. The intracranial hematoma occurred in 4 patients and received second surgery to remove the hematoma, and no complications was observed. Blepharoptosis occurred in 2 patients, who recovered 3 months after surgery. The hydrocephalus occurred in 1 patient and recovered after ventriculoperitoneal shunt. Conclusions There are certain complications of surgery for temporal lobe epilepsy, some of them can be reduced or even avoided by gaining familiarity with the anatomic structures of the temporal lobe and relevant tissues, mastering microtechnique, and following the rules of standard operation.
Keywords：epilepsytemporal loberesectionanterior temporal lobe and medial structioncomplicationcausesprecaution
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 10-13 )