Single Center Outcomes of Intracranial Evaluation and Surgical Intervention in the Elderly Population

Objective: The object of this case series is to report the effectiveness and complication rates of presurgical evaluation and surgical treatment among elderly epilepsy patients in our clinic.Methods: We reviewed patients charts from 2016 to 2020 and identified patients over the age of 55 years of age who underwent intracranial EEG, resection, and device placement. We compared the complica-tions and post-intervention outcomes of 14 different patients.Results: The mean age of patients was 63.6 +/- 4.13 years, and 6 (42.9 %) patients were female. 8 (57.1 %) patients underwent intracranial evaluation; 6 patients underwent SEEG, and 2 patients underwent SDE placement. 5/11 (45 %) patients reached seizure freedom with at least one year follow-up. Discussion: Intracranial evaluation could play an important role in the success of surgical intervention in the elderly epilepsy population. Prospective, multicenter studies are needed to determine the ideal can-didate for a safe and effective intracranial evaluation and resection.(c) 2022 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).