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 complications 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 candidate for a safe and effective intracranial evaluation and resection.