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- W2002077518 abstract "Abstract Objective The safety, efficacy, and morbidity of radiosurgery (RS) must be established before it can be offered as an alternative to open surgery for unilateral mesial temporal lobe epilepsy. We report the 3‐year outcomes of a multicenter, prospective pilot study of RS. Methods RS was randomized to 20 or 24Gy targeting the amygdala, hippocampus, and parahippocampal gyrus. Seizure diaries evaluated the final seizure remission between months 24 and 36. Verbal memory was evaluated at baseline and 24m with the Wechsler Memory Scale–Revised (WMS‐R) and California Verbal Learning Test (CVLT). Patients were classified as having “significant improvement,” “no change,” and “significant impairment” based on relative change indices. Results Thirteen high‐dose and 17 low‐dose patients were treated. Both groups showed significant reductions in seizures by 1 year after treatment. At the 36‐month follow‐up evaluation, 67% of patients were free of seizures for the prior 12 months (high dose: 10/13, 76.9%; low dose: 10/17, 58.8%). Use of steroids, headaches, and visual field defects did not differ by dose or seizure remission. The prevalence of verbal memory impairment was 15% (4/26 patients); none declined on more than one measure. The prevalence of significant verbal memory improvements was 12% (3/26). Interpretation RS for unilateral mesial temporal lobe epilepsy offers seizure remission rates comparable with those reported previously for open surgery. There were no major safety concerns with high‐dose RS compared with low‐dose RS. Additional research is required to determine whether RS may be a treatment option for some patients with mesial temporal lobe epilepsy. Ann Neurol 2009" @default.
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- W2002077518 date "2009-02-01" @default.
- W2002077518 modified "2023-10-17" @default.
- W2002077518 title "A multicenter, prospective pilot study of gamma knife radiosurgery for mesial temporal lobe epilepsy: Seizure response, adverse events, and verbal memory" @default.
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- W2002077518 cites W1973634238 @default.
- W2002077518 cites W1975181723 @default.
- W2002077518 cites W1975564074 @default.
- W2002077518 cites W1979808630 @default.
- W2002077518 cites W1980051064 @default.
- W2002077518 cites W1984134627 @default.
- W2002077518 cites W1987584839 @default.
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- W2002077518 cites W2025806411 @default.
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- W2002077518 doi "https://doi.org/10.1002/ana.21558" @default.
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