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Experience with Orbital Electrodes in the Patients Operated on for Epilepsy—Results of Temporofrontal Resections

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Advances in Stereotactic and Functional Neurosurgery 8

Part of the book series: Acta Neurochirurgica Supplementum ((STEREOTACTIC,volume 46))

Summary

We introduced the orbital electrodes (Fb-frontobasal) in clinical practice in 1983. Since then we have operated on 112 patients for medically intractable “temporal” epileptic fits. In this series there were 45 patients (40%) with independent focal interictal EEG epileptic abnormalities over frontobasal cortex (with or without independent spiking over interomedial temporal region). In these patients we performed a small temporal lobectomy (with amygdaloectomy and resection of pes hippocampi) (TL) and resection of frontoorbital cortex (FOCR). The surgical results are as follows: There are 75 patients with follow-up one to 5 years. TL and FOCR were performed in 27 patients (36%). In this group seizure-free are 25 (93%) and 2 patients (7%) are much better. In the series of 48 patients examined by sphenoidal electrodes and operated for “temporal” fits (TL) by the same author (R.I.) (follow-up 5–13 years), seizure-free are 38 (79%), much better are 8 (17%) and unchanged are 2 (4%) patients. The difference in proportion of seizure-free patients in these two series is statistically significant (t = 2.53; p < 0.05).

Our results suggest that in some patients suffering with “temporal” seizures a well defined EEG picture suggests a new clinical entity the “temporo-frontal” epilepsy, the surgical treatment of which gives excellent results.

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Author information

Authors and Affiliations

  1. Neurosurgical Clinic, University Clinical Centre, Belgrade, Yugoslavia

    I. Ribarić M.D. & N. Sekulović

Authors
  1. I. Ribarić M.D.
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  2. N. Sekulović
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Editor information

Editors and Affiliations

  1. Istituto Neurologico “C. Besta”, Milano, Italy

    Giovanni Broggi

  2. Servicio de Neurocirugía, Fundación Iménez Díaz, Madrid, Spain

    Juan Burzaco

  3. Department of Neurosurgery, University of Birmingham, UK

    Edward R. Hitchcock (President) (President)

  4. Department of Neurosurgery, Karolinska Sjukhuset, Stockholm, Sweden

    Björn A. Meyerson

  5. Department of Neurosurgery, Medical University of Debrecen, Debrecen, Hungary

    Szabolcs Tóth

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© 1989 Springer-Verlag

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Ribarić, I., Sekulović, N. (1989). Experience with Orbital Electrodes in the Patients Operated on for Epilepsy—Results of Temporofrontal Resections. In: Broggi, G., Burzaco, J., Hitchcock, E.R., Meyerson, B.A., Tóth, S. (eds) Advances in Stereotactic and Functional Neurosurgery 8. Acta Neurochirurgica Supplementum, vol 46. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9029-6_5

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  • DOI: https://doi.org/10.1007/978-3-7091-9029-6_5

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-9031-9

  • Online ISBN: 978-3-7091-9029-6

  • eBook Packages: Springer Book Archive

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