Analysis of reoperation of 22 patients with mesial temporal Lobe Sclerosis

Objective: We analyzed the outcome of reoperation in cases of incomplete resection of mesial temporal lobe structures in patients with mesial temporal sclerosis (MTS) who had no satisfactory outcome after initial surgery for temporal lobe epilepsy (TLE). Methods: We analyzed 22 consecutive patients with MTS (follow-up 18 to 112 months, mean 42.8) by evaluating noninvasive EEG/video monitoring before first and second surgery (interictal epileptiform discharges=IED, ictal EEG, semiology) and MRI (resection index after first and second surgery of amygdala, hippocampus, lateral temporal lobe). Results: Nine of 22 pa…