Muhamad Thohar Arifin
-Staf Pengajar Bagian Ilmu Bedah Saraf FK UNDIP/ RSUP Dr. Kariadi, Jl. Dr. Sutomo No. 16-18 Semarang -Staf Pengajar Bagian Ilmu Anatomi FK UNDIP Jl. Dr. Sutomo No. 18 Semarang

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PERBANDINGAN KUALITAS HIDUP PASIEN EPILEPSI LOBUS TEMPORAL YANG BEBAS KEJANG DENGAN YANG TIDAK BEBAS KEJANG PASCA AMIGDALOHIPPOKAMPEKTOMI Ashari, Ashari; Arifin, Muhamad Thohar; Hardian, Hardian
MEDIA MEDIKA MUDA 2012:MMM VOLUME 1 NUMBER 1 YEAR 2012
Publisher : MEDIA MEDIKA MUDA

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Abstract

Background : Epilepsy surgery is a choice of treatment for epilepsy patients who are resistant to anti-epileptic drugs. Epilepsy surgery is successful if the patient’s quality of life improved or better than before surgery and it can reduce seizure frequency.Aim : Prove the existences of quality of life differences in seizure-free patients compared with not seizure-free temporal lobe epilepsy patients post-amygdalohippocampectomy.Methodes : This is an Observational study with Cross Sectional design. The quality of life were assessed with QOLIE-31 questionnaire, while the patient’s seizure-free condition were taken from medical records. Then quality of life of seizure-free temporal lobe epilepsy patients were compared with not seizure-free patients after amygdalohippocampectomy. The statistical tests used were unpaired t-test if the data was distributed normally, and Mann-Whitney test if the data was not distributed normally.Results : 31 patients, 21 were seizure free (Engel 1) and 10 were not seizure free (Engel 2, 3 and 4), who have met the inclusion and exclusion criteria were analyzed. Statistical test results obtained with the seizure worry p = 0.003, overall QOL p = 0.001, emotional well-being p <0.001, energy / fatigue p <0.001, cognitive p = 0.002, medication Effects p = 0.01 , Social function p <0.001 . So that there were significant differences in quality of life of seizure-free temporal lobe epilepsy patients compared with not seizure-free patients.Conclusion : The quality of life of seizure-free temporal lobe epilepsy patients were significantly higher than those who were not seizure free after amygdalohippocampectomy.Key Words : Quality of life, QOLIE-31, Seizure-free, temporal lobe epilepsy, amygdalohippocampectomy