Abstracts

Rationale: To investigate the incidence and types of complications in temporal lobe epilepsy surgery, and analyse its causes and precautions.  Methods: Clinical data of 24 unilateral temporal lobe epilepsy patients were analyzed retrospectively, who received anterior temporal lobe and medial structure resection combined with postoperative complications. Results: The hemiplegia occurred in 4 patients who recovered after symptomatic treatment. The intracranial infection occurred in 8 patients, who recovered in 7 after lumbar puncture and 1 after excision of brain abscess. The peripheral facial paralysis occurred in 2 patients and temporal muscle atrophy in 3, who received no improvement 1 year after surgery. The intracranial hematoma occurred in 4 patients and received second surgery to remove the hematoma, and no complications was observed. The blepharoptosis occurred in 2 patients who recovered 3 months after surgery. The hydrocephalus occurred in 1 patient who recovered after ventriculoperitoneal shunt.  Conclusions: There are certain complications in temporal lobe epilepsy surgery, some of them can be reduced or even avoided by gaining familiarity with the anatomic structures of temporal lobe and relevant tissues, mastering microtechnique, and keeping the rules of standard operation.  Funding: Beijing Municipal Science & Technology Commission (Z161100000516131)