Research Article

Association of Lateralized Interictal Epileptiform Discharges with Postsurgical Seizure Outcomes in Patients with Tuberous Sclerosis Complex: A 10-Year Retrospective Study at a Single Center

Table 1

Clinical characteristics of TSC patients enrolled in the study.

CharacteristicsValues

Sex
 Male40 (48.8)
 Female42 (51.2)
IQ57.4 (30-93)
Type of variant in TSC gene
 TSC111 (13.4)
 TSC253 (64.6)
 No variation18 (22)
Age at onset (month)26.83 (1-216)
Number of seizure types1.87 (1-4)
Frequency of seizure
 1-3/w22 (26.8)
 4-10/w30 (36.6)
 >10/w30 (36.6)
Number of ASMs2.52 (0-4)
CT/MRI
 Cyst18 (22.0)
 Calcification27 (32.9)
 SEN71 (86.6)
 SEGA25 (30.5)
Number of tubers
 1-313 (15.9)
 4-654 (65.8)
 >615 (18.3)
Number of epileptogenic tubers
 142 (51.2)
 229 (35.4)
 311 (13.4)
Total resection of epileptogenic tubers
 Yes67 (81.7)
 No15 (18.3)
Interictal scalp video-EEG
 Focal12 (14.6)
 Lateralized31 (37.8)
 Multifocal14 (17.1)
 Generalized25 (30.5)
Ictal scalp video-EEG
 Focal19 (23.2)
 Lateralized33 (40.2)
 Multifocal17 (20.7)
 Generalized13 (15.9)
Surgery approach
 Single tuberectomy13 (15.9)
 Multiple tuberectomy9 (11.0)
 Lobectomy6 (7.3)
 Lobectomy+tuberectomy54 (65.8)
Postsurgical seizure outcomes
 1-year follow-upa
  SF68 (82.9)
  No-SF14 (17.1)
 5-year follow-upb
  SF53 (70.7)
  No-SF22 (29.3)
 10-year follow-upc
  SF43 (75.4)
  No-SF14 (24.6)

Abbreviations: TSC: tuberous sclerosis complex; ASMs: antiseizure medications; SEN: subependymal nodules; SEGA: subependymal giant cell astrocytoma; SF: seizure freedom. Values are (%) or mean (range). aAvailable patient data . bAvailable patient data . cAvailable patient data .