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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, RESULTS. Meshes: Adolescent, Adult, Age Factors, Aged, Child, Electroencephalography, Epilepsy, Temporal Lobe, Female, Humans, Magnetic Resonance Imaging, Male, Postoperative Period, Prognosis, Retrospective Studies, Risk Factors, Seizures, Time Factors, Treatment Outcome, Young Adult.
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Is shorter epilepsy duration associated with better seizure outcome in temporal lobe epilepsy surgery? Context: To investigate the influence of patient's age and seizure onset on surgical outcome of temporal lobe epilepsy (TLE). A retrospective observational investigation performed from a cohort of patients from 2000 to 2012. A total of 229 patients were included. One-hundred and eleven of 179 patients (62%) were classified as Engel I in the group with < 50 years old, whereas 33 of 50 (66%) in the group with ≥ 50 years old group (p = 0.82). From those Engel I, 88 (61%) reported epilepsy duration inferior to 10 years and 56 (39%) superior to 10 years (p < 0.01). From the total of patients not seizure free, 36 (42%) reported epilepsy duration inferior to 10 years and 49 (58%) superior to 10 years (p < 0.01).
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Patients with shorter duration of epilepsy before surgery had better postoperative seizure control than patients with longer duration of seizures. Final Decision: yes