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• W2891171591 abstract "Magnetic resonance–guided laser interstitial thermal therapy (MRgLITT) and stereotactic radiosurgery (SRS) are 2 emerging minimally invasive procedures being increasingly used for surgical intervention in cases of medically intractable temporal lobe epilepsy (TLE). To date, no comparative analyses of these 2 procedures have been made. In the current study, we synthesized pooled data from existing studies in an attempt to present a systematic review and meta-analysis of seizure and clinical outcomes of the 2 procedures in patients with TLE. The Population, Intervention, Comparator, and Outcome (PICO) approach and Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were followed to perform an indirect meta-analysis of seizure and clinical outcomes between MRgLITT and SRS. Only studies reporting outcomes for patients with TLE were included in the current review. A total of 19 studies were included in the final analysis, giving a total of 415 TLE patients. Of those studies, 9 were on MRgLITT, with a total of 250 patients (60%), and 10 were on SRS, with a total of 165 patients (40%). We found that the overall seizure freedom rate was comparable between the 2 procedures (MRgLITT 50%, 95% confidence interval [CI] 44% to 56%, vs. SRS 42%, 95% CI 27% to 59%, P = 0.39). Similarly, among patients with lesional pathologic conditions only, the seizure freedom rate was comparable between the 2 procedures (MRgLITT 62%, 95% CI 48% to 74%, vs. SRS 50%, 95% CI 37% to 64%, P = 0.23). Compared with SRS, MRgLITT was associated with lower complication rates (MRgLITT 20%, 95% CI 14% to 26% vs. SRS 32%, 95% CI 20% to 46%, P = 0.06) but similar reoperation rates (15%, 95% CI 9% to 22% vs. 27%, 95% CI 12% to 46%, P = 0.31). As minimally invasive procedures continue to gain popularity for use in surgery for epilepsy, it is imperative to evaluate their efficacy and safety outcomes. In this study we pooled the data from existing studies to compare the seizure and clinical outcomes in patients with TLE undergoing MRgLITT and SRS. We found similar outcomes and complications between the 2 procedures. • MRgLITT and SRS are 2 emerging minimally invasive surgical techniques for epilepsy surgeries. • The 2 procedures may have comparable rates of postoperative seizure freedom and reoperation. • MRgLITT may be associated with a lower complication rate." @default.
• W2891171591 created "2018-09-27" @default.
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• W2891171591 date "2019-02-01" @default.
• W2891171591 modified "2023-10-11" @default.
• W2891171591 title "Magnetic Resonance–Guided Laser Interstitial Thermal Therapy Versus Stereotactic Radiosurgery for Medically Intractable Temporal Lobe Epilepsy: A Systematic Review and Meta-Analysis of Seizure Outcomes and Complications" @default.
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• W2891171591 doi "https://doi.org/10.1016/j.wneu.2018.08.227" @default.
• W2891171591 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30244184" @default.
• W2891171591 hasPublicationYear "2019" @default.
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