dc.creator | GUARNIERI, Ricardo | |
dc.creator | WALZ, Roger | |
dc.creator | HALLAK, Jaime E. C. | |
dc.creator | COIMBRA, Erica | |
dc.creator | ALMEIDA, Edna de | |
dc.creator | CESCATO, Maria P. | |
dc.creator | VELASCO, Tonicarlo R. | |
dc.creator | ALEXANDRE JR., Veriano | |
dc.creator | TERRA, Vera C. | |
dc.creator | CARLOTTI JR., Carlos G. | |
dc.creator | ASSIRATI JR., Joao A. | |
dc.creator | SAKAMOTO, Americo C. | |
dc.date.accessioned | 2012-10-19T23:40:06Z | |
dc.date.accessioned | 2018-07-04T15:19:51Z | |
dc.date.available | 2012-10-19T23:40:06Z | |
dc.date.available | 2018-07-04T15:19:51Z | |
dc.date.created | 2012-10-19T23:40:06Z | |
dc.date.issued | 2009 | |
dc.identifier | EPILEPSY & BEHAVIOR, v.14, n.3, p.529-534, 2009 | |
dc.identifier | 1525-5050 | |
dc.identifier | http://producao.usp.br/handle/BDPI/24945 | |
dc.identifier | 10.1016/j.yebeh.2009.01.002 | |
dc.identifier | http://dx.doi.org/10.1016/j.yebeh.2009.01.002 | |
dc.identifier.uri | http://repositorioslatinoamericanos.uchile.cl/handle/2250/1621671 | |
dc.description.abstract | Clinical and demographic presurgical variables may be associated with unfavorable postsurgical neurological outcome in patients with mesial temporal lobe epilepsy with hippocampal sclerosis (MTLE-HS). However, few reports include preoperative psychiatric disorders as a factor predictive of long-term post-surgical MTLE-HS neurological Outcome. We used Engel`s criteria to follow 186 postsurgical patients with MTLE-HS for an average of 6 years. DSM-IV criteria and psychiatric comorbidity criteria specific to epilepsy (interictal dysphoric disorder, postictal and interictal psychosis) were used to assess presurgical psychiatric disorders. Kaplan-Meier event-free Survival and adjusted hazard ratios were estimated with unconditional logistic regression. Seventy-seven (41.4%) patients had a preoperative Axis I psychiatric diagnosis. Thirty-six patients had depression, I I interictal dysphoric disorder, 14 interictal psychosis, 6 postictal psychosis, and 10 anxiety disorders. Twenty-three (12.4%) patients had Axis 11 personality disorders. Regarding seizure outcome, preoperative anxiety disorders (P = 0.009) and personality disorders (P = 0.003) were positively Correlated with Engel class I B (remaining auras) or higher. These findings emphasize the importance of presurgical psychiatric evaluation, counseling, and Postsurgical follow-up of patients with epilepsy and psychiatric disorders. (C) 2009 Elsevier Inc. All rights reserved. | |
dc.language | eng | |
dc.publisher | ACADEMIC PRESS INC ELSEVIER SCIENCE | |
dc.relation | Epilepsy & Behavior | |
dc.rights | Copyright ACADEMIC PRESS INC ELSEVIER SCIENCE | |
dc.rights | restrictedAccess | |
dc.subject | Epilepsy | |
dc.subject | Psychiatry | |
dc.subject | Temporal lobectomy | |
dc.subject | Outcome | |
dc.title | Do psychiatric comorbidities predict postoperative seizure outcome in temporal lobe epilepsy surgery? | |
dc.type | Artículos de revistas | |