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.
Characteristics
Values
Sex
Male
40 (48.8)
Female
42 (51.2)
IQ
57.4 (30-93)
Type of variant in TSC gene
TSC1
11 (13.4)
TSC2
53 (64.6)
No variation
18 (22)
Age at onset (month)
26.83 (1-216)
Number of seizure types
1.87 (1-4)
Frequency of seizure
1-3/w
22 (26.8)
4-10/w
30 (36.6)
>10/w
30 (36.6)
Number of ASMs
2.52 (0-4)
CT/MRI
Cyst
18 (22.0)
Calcification
27 (32.9)
SEN
71 (86.6)
SEGA
25 (30.5)
Number of tubers
1-3
13 (15.9)
4-6
54 (65.8)
>6
15 (18.3)
Number of epileptogenic tubers
1
42 (51.2)
2
29 (35.4)
3
11 (13.4)
Total resection of epileptogenic tubers
Yes
67 (81.7)
No
15 (18.3)
Interictal scalp video-EEG
Focal
12 (14.6)
Lateralized
31 (37.8)
Multifocal
14 (17.1)
Generalized
25 (30.5)
Ictal scalp video-EEG
Focal
19 (23.2)
Lateralized
33 (40.2)
Multifocal
17 (20.7)
Generalized
13 (15.9)
Surgery approach
Single tuberectomy
13 (15.9)
Multiple tuberectomy
9 (11.0)
Lobectomy
6 (7.3)
Lobectomy+tuberectomy
54 (65.8)
Postsurgical seizure outcomes
1-year follow-upa
SF
68 (82.9)
No-SF
14 (17.1)
5-year follow-upb
SF
53 (70.7)
No-SF
22 (29.3)
10-year follow-upc
SF
43 (75.4)
No-SF
14 (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 .