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Visual field deficits after epilepsy surgery: a new quantitative scoring method

Overview of attention for article published in Acta Neurochirurgica, April 2018
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Title
Visual field deficits after epilepsy surgery: a new quantitative scoring method
Published in
Acta Neurochirurgica, April 2018
DOI 10.1007/s00701-018-3525-9
Pubmed ID
Authors

Rick H. G. J. van Lanen, M. C. Hoeberigs, N. J. C. Bauer, R. H. L. Haeren, G. Hoogland, A. Colon, C. Piersma, J. T. A. Dings, O. E. M. G. Schijns

Abstract

Anterior temporal lobectomy (ATL) as a treatment for drug-resistant temporal lobe epilepsy (TLE) frequently causes visual field deficits (VFDs). Reported VFD encompasses homonymous contralateral upper quadrantanopia. Its reported incidence ranges from 15 to 90%. To date, a quantitative method to evaluate postoperative VFD in static perimetry is not available. A method to quantify postoperative VFD, which allows for comparison between groups of patients, was developed. Fifty-five patients with drug-resistant TLE, who underwent ATL with pre- and postoperative perimetry, were included. Temporal lobe resection length was measured on postoperative MRI. Percentage VFD was calculated for the total visual field, contralateral upper quadrant, or other three quadrants combined. Patients were divided into groups by resection size (< 45 and ≥ 45 mm) and side of surgery (right and left). We found significant higher VFD in the ≥ 45 vs. < 45 mm group (2.3 ± 4.4 vs. 0.7 ± 2.4%,p = 0.04) for right-sided ATL. Comparing VFD in both eyes, we found more VFD in the right vs. left eye following left-sided ATL (14.5 ± 9.8 vs. 12.9 ± 8.3%, p = 0.03). We also demonstrated significantly more VFD in the < 45 mm group for left- vs. right-sided surgery (6.7 ± 6.7 vs. 13.1 ± 7.0%, p = 0.016). A significant quantitative correlation between VFD and resection size for right-sided ATL was shown (r = 0.52, p < 0.01). We developed a new quantitative scoring method for the assessment of postoperative visual field deficits after temporal lobe epilepsy surgery and assessed its feasibility for clinical use. A significant correlation between VFD and resection size for right-sided ATL was confirmed.

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Mendeley readers

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The data shown below were compiled from readership statistics for 35 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 35 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 7 20%
Student > Ph. D. Student 6 17%
Student > Bachelor 5 14%
Student > Doctoral Student 4 11%
Student > Master 2 6%
Other 2 6%
Unknown 9 26%
Readers by discipline Count As %
Neuroscience 8 23%
Medicine and Dentistry 6 17%
Psychology 4 11%
Agricultural and Biological Sciences 1 3%
Nursing and Health Professions 1 3%
Other 5 14%
Unknown 10 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 July 2018.
All research outputs
#20,523,725
of 23,092,602 outputs
Outputs from Acta Neurochirurgica
#1,694
of 1,940 outputs
Outputs of similar age
#291,181
of 329,819 outputs
Outputs of similar age from Acta Neurochirurgica
#20
of 22 outputs
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