Clinical histories and operative details of patients 2 to 5
Patient Sex | Age at onset of seizures (y) | Seizure type and approximate frequency before surgery | Age at surgery (y) | Tumour location and surgical procedure | Outcome and duration of follow up |
---|---|---|---|---|---|
2 Male | 7 | Partial (1/week) and generalised seizures (1/week). | 24 | Right frontal. Removal of cystic mass (total excision). | Only one seizure since surgery. Postoperative EEG shows no epileptiform activity. 2 year follow up |
3 Male | 9 | Complex partial seizures and generalized seizures (2–3/week). | 27 | Left temporal. Lesionectomy; lower middle and inferior temporal gyrus. | Seizure free. 18 month follow up. |
4 Female | 6 | Absence and generalised seizures (2/week). | 20 | Left frontal. Subtotal (80%) excision: due to tumour location in motor cortex. | Continues to have seizures, although decreased in frequency (2/month). 18 month follow up. |
5 Female | 6 | Complex partial seizures (5–10/month) and generalised seizures (5/year). | 41 | Right frontal. Cystic lesion extending to cortex. Cyst drained and partial resection of tumour. | Marked reduction in seizure frequency. 1 year follow up. |