Table 3.
Variable | SSA/PVSA (n = 11) | Controls (n = 147) | P-value |
---|---|---|---|
Demographic | |||
Female sex | 8 (72.7%) | 66 (44.9%) | 0.095 |
Age at surgery (yrs) | 40.18 | 33.44 | 0.049 |
Duration of epilepsy (yrs) | 26.91 | 20.84 | 0.086 |
Seizure characteristics | |||
Daily seizures or worse | 2 (18.2%) | 38 (25.9%) | 0.649 |
Early ictal symptoms suggestive of insular involvement | |||
Epigastric symptoms | 6 (54.5%) | 54 (36.7%) | 0.280 |
Motor symptoms | 4 (36.4%) | 16 (10.9%) | 0.022 |
Auditory symptoms | 0 (0%) | 7 (4.8%) | 1.000 |
Cephalic symptoms | 1 (9.1%) | 27 (18.4%) | 0.572 |
Dysphasic symptoms | 0 (0%) | 7 (4.8%) | 1.000 |
Generalized seizures | 7 (63.6%) | 94 (63.9%) | 1.000 |
Status epilepticus | 1 (9.1%) | 6 (4.1%) | 0.296 |
Number of AEDs tried | 5.00 | 4.36 (n = 144) | 0.280 |
Left side | 5 (45.5%) | 91 (61.9%) | 0.292 |
Etiology | |||
History of CNS infection | 4 (36.4%) | 16 (10.9%) | 0.022 |
History of head trauma | 0 (0%) | 12 (8.2%) | 1.000 |
Family history | 1 (9.1%) | 32 (21.8%) | 0.406 |
Febrile seizures | 1 (9.1%) | 33 (22.4%) | 0.405 |
Perinatal complications | 1 (9.1%) | 9 (6.1%) | 0.374 |
Developmental delay | 1 (9.1%) | 9 (6.1%) | 0.374 |
imaging | |||
Normal MRI | 0/10 (0%) | 15/104 (14.4%) | 0.301 |
Hippocampal atrophy | 2/10 (20%) | 20/104 (19.2%) | 1.000 |
Hippocampal atrophy and sclerosis | 6/10 (60%) | 48/104 (46.2%) | 0.466 |
Other temporal lesion | 5 (45.5%) | 46 (31.3%) | 0.270 |
Scalp EEG | |||
Localizing to TL | 7 (63.6%) | 81/144 (56.3%) | 0.690 |
Lateralizing | 3 (27.3%) | 34/144 (23.6%) | 0.641 |
Nonlateralizing | 1 (9.1%) | 29/144 (20.1%) | 0.615 |
SPECT localizing to TL | 2/7 (28.6%) | 63/89 (70.8%) | 0.025 |
FDG PET | |||
Normal | 0/0 (?) | 2/15 (13.3%) | N/A |
Temporal focus | 0/0 (?) | 13/15 (86.7%) | N/A |
Intracranial electrode implantation | 6 (54.5%) | 70 (47.6%) | 0.692 |
Surgery | |||
SAH | 2 (18.2%) | 25 (17%) | 0.839 |
ATL | 7 (63.6%) | 111 (75.5%) | 0.417 |
ATL and lesionectomy | 0 (0%) | 6 (4.1%) | 1.000 |
Lesionectomy | 2 (18.2%) | 5 (3.4%) | 0.039 |
ECOG | 0 (0%) | 4 (2.7%) | 0.610 |
Pathology | |||
Sclerosis | 7 (63.6%) | 62 (42.2%) | 0.179 |
Cavernoma | 1 (9.1%) | 3 (2%) | 0.162 |
Glioma | 1 (9.1%) | 4 (2.7%) | 0.199 |
Ganglioglioma | 0 (0%) | 6 (4.1%) | 1.000 |
Focal cortical dysplasia | 0 (0%) | 4 (2.7%) | 0.610 |
DNET | 0 (0%) | 2 (1.4%) | 1.000 |
Gliosis | 0 (0%) | 3 (2%) | 0.572 |
Normal | 0 (0%) | 24 (16.3%) | 0.172 |