What are the long-term surgical outcomes and the possible prognostic factors in patients with nonlesional neocortical epilepsy?
In a long-term study that included 109 patients, nearly 60% of patients
with nonlesional neocortical epilepsy achieved long-term freedom from seizure.
Several factors, including localizing patterns in functional neuroimaging,
concordant results in presurgical diagnostic evaluations, and the presence of
aura, were associated favorable surgical outcome.
Patients with nonlesional neocortical epilepsy can be good surgical
candidates, and the presence of predictors of favorable surgical outcome would
help select optimal candidates for surgical treatment.
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