Table 2.
Engel I | Engel II–IV | P value | |||
---|---|---|---|---|---|
| |||||
Total | 369 (47%) | 413 (53%) | |||
A) Demographics | Gender | Female | 31 (56%) | 24 (44%) | 0.56 |
Male | 44 (52%) | 41 (46%) | |||
Age of seizure onset, years (mean ± SEM) | 7.1 ± 0.9 | 6.6 ± 0.9 | 0.64 | ||
N = 78 | N = 67 | ||||
Age at initial surgery, years (mean ± SEM) | 15.9 ± 1.3 | 14.9 ± 1.3 | 0.57 | ||
N = 105 | N = 89 | ||||
Age at last surgery, years (mean ± SEM) | 16.8 ± 1.4 | 15.4 ± 1.3 | 0.48 | ||
N = 87 | N = 77 | ||||
B) Epilepsy characteristics | Pathology | Lesional | 95 (61%) | 62 (39%) | < 0.01* |
Non-Lesional | 145 (41%) | 205 (59%) | |||
Secondary seizure generalization | Yes | 22 (38%) | 36 (62%) | < 0.08 | |
No | 46 (53%) | 41 (47%) | |||
Predominant seizure type | FOIA | 54 (51%) | 51 (49%) | 0.01* | |
FOA | 38 (45%) | 46 (55%) | |||
Other | 2 (12%) | 15 (88%) | |||
Duration of epilepsy, years (mean ± SEM) | 12.3 ± 1.9 | 8.5 ± 1.9 | 0.18 | ||
N = 36 | N = 24 | ||||
C) Diagnostics | MRI findings prior to 1st surgery | Normal | 18 (35%) | 34 (65%) | 0.03* |
Abnormal | 76 (53%) | 68 (47%) | |||
Electrophysiology | Congruent | 87 (69%) | 39 (31%) | < 0.01* | |
Incongruent | 31 (47%) | 35 (53%) | |||
Invasive Monitoring | Used | 67 (52%) | 61 (48%) | < 0.01* | |
Not used | 62 (76%) | 20 (24%) | |||
D) Surgical factors | Time between resections, years (mean ± SEM) | 3.1 ± 0.3 | 3.0 ± 0.3 | 0.83 | |
N = 96 | N = 92 | ||||
Resection location – initial surgery | Temporal | 94 (49%) | 99 (51%) | 0.04* | |
Extratemporal | 99 (39%) | 155 (61%) | |||
Resection location – last surgery | Temporal | 129 (54%) | 112 (47%) | < 0.01* | |
Extratemporal | 95 (37%) | 160 (63%) | |||
Side of initial surgery | Left | 47 (48%) | 50 (52%) | 0.26 | |
Right | 68 (56%) | 53 (48%) | |||
Side of last surgery | Left | 46 (49%) | 47 (51%) | 0.34 | |
Right | 65 (55%) | 51 (45%) | |||
Reason for failure of initial surgery | Surgical limitation | 100 (50%) | 102 (50%) | < 0.01* | |
Disease-related | 23 (32%) | 48 (68%) |
Statistically significant value (p ≤ 0.05).
Data are reported as N values (with corresponding percent) unless otherwise indicated. SEM = standard error of the mean; FOIA = focal onset with impaired awareness (i.e. complex partial); FOA = focal onset aware (i.e. simple partial); MRI = magnetic resonance imaging.