Occupational outcome after temporal lobectomy for refractory epilepsy

Michael R. Sperling, Andrew Saykin, F. D. Roberts, J. A. French, M. J. O’Connor

Research output: Contribution to journalArticle

76 Citations (Scopus)

Abstract

We evaluated employment after temporal lobectomy for refractory epilepsy in 86 patients (3.5 to 8 years of follow-up). Seventy-three patients qualified for the work force before and after surgery. Unemployment rates declined after surgery (18 patients [25%] unemployed before surgery, eight patients [11%] unemployed after surgery), and underemployment also tended to diminish. Improvement in occupational status related strongly to the degree of postoperative seizure relief. Seizure-free patients fared better (no unemployment, little underemployment) than patients with some seizure-free years and some years with seizures after surgery, whose high underemployment level persisted. Patients with seizures in each year after surgery fared worst (despite reduced seizure frequency), with increased unemployment after surgery. Age at surgery also influenced vocational outcome in patients who were unemployed before surgery. Historical, educational, cognitive, and behavioral measures did not correlate with vocational outcome. Employment gains came slowly; unemployed patients took up to 6 years to obtain work after surgery. Of 13 students at the time of surgery, 11 have graduated and nine are now employed. We conclude that seizures play a large role in limiting employment, and that by alleviating seizures, temporal lobectomy improves employability in people with refractory epilepsy. Surgery thereby provides benefit to individuals with epilepsy by increasing financial independence and to society by reducing unemployment.

Original languageEnglish (US)
Pages (from-to)970-977
Number of pages8
JournalNeurology
Volume45
Issue number5
StatePublished - 1995
Externally publishedYes

Fingerprint

Epilepsy
Seizures
Unemployment
Surgery
Students

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Clinical Neurology
  • Neuroscience(all)

Cite this

Sperling, M. R., Saykin, A., Roberts, F. D., French, J. A., & O’Connor, M. J. (1995). Occupational outcome after temporal lobectomy for refractory epilepsy. Neurology, 45(5), 970-977.

Occupational outcome after temporal lobectomy for refractory epilepsy. / Sperling, Michael R.; Saykin, Andrew; Roberts, F. D.; French, J. A.; O’Connor, M. J.

In: Neurology, Vol. 45, No. 5, 1995, p. 970-977.

Research output: Contribution to journalArticle

Sperling, MR, Saykin, A, Roberts, FD, French, JA & O’Connor, MJ 1995, 'Occupational outcome after temporal lobectomy for refractory epilepsy', Neurology, vol. 45, no. 5, pp. 970-977.
Sperling MR, Saykin A, Roberts FD, French JA, O’Connor MJ. Occupational outcome after temporal lobectomy for refractory epilepsy. Neurology. 1995;45(5):970-977.
Sperling, Michael R. ; Saykin, Andrew ; Roberts, F. D. ; French, J. A. ; O’Connor, M. J. / Occupational outcome after temporal lobectomy for refractory epilepsy. In: Neurology. 1995 ; Vol. 45, No. 5. pp. 970-977.
@article{7bf18b00b2d144bfb7129e1f911c9d28,
title = "Occupational outcome after temporal lobectomy for refractory epilepsy",
abstract = "We evaluated employment after temporal lobectomy for refractory epilepsy in 86 patients (3.5 to 8 years of follow-up). Seventy-three patients qualified for the work force before and after surgery. Unemployment rates declined after surgery (18 patients [25{\%}] unemployed before surgery, eight patients [11{\%}] unemployed after surgery), and underemployment also tended to diminish. Improvement in occupational status related strongly to the degree of postoperative seizure relief. Seizure-free patients fared better (no unemployment, little underemployment) than patients with some seizure-free years and some years with seizures after surgery, whose high underemployment level persisted. Patients with seizures in each year after surgery fared worst (despite reduced seizure frequency), with increased unemployment after surgery. Age at surgery also influenced vocational outcome in patients who were unemployed before surgery. Historical, educational, cognitive, and behavioral measures did not correlate with vocational outcome. Employment gains came slowly; unemployed patients took up to 6 years to obtain work after surgery. Of 13 students at the time of surgery, 11 have graduated and nine are now employed. We conclude that seizures play a large role in limiting employment, and that by alleviating seizures, temporal lobectomy improves employability in people with refractory epilepsy. Surgery thereby provides benefit to individuals with epilepsy by increasing financial independence and to society by reducing unemployment.",
author = "Sperling, {Michael R.} and Andrew Saykin and Roberts, {F. D.} and French, {J. A.} and O’Connor, {M. J.}",
year = "1995",
language = "English (US)",
volume = "45",
pages = "970--977",
journal = "Neurology",
issn = "0028-3878",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Occupational outcome after temporal lobectomy for refractory epilepsy

AU - Sperling, Michael R.

AU - Saykin, Andrew

AU - Roberts, F. D.

AU - French, J. A.

AU - O’Connor, M. J.

PY - 1995

Y1 - 1995

N2 - We evaluated employment after temporal lobectomy for refractory epilepsy in 86 patients (3.5 to 8 years of follow-up). Seventy-three patients qualified for the work force before and after surgery. Unemployment rates declined after surgery (18 patients [25%] unemployed before surgery, eight patients [11%] unemployed after surgery), and underemployment also tended to diminish. Improvement in occupational status related strongly to the degree of postoperative seizure relief. Seizure-free patients fared better (no unemployment, little underemployment) than patients with some seizure-free years and some years with seizures after surgery, whose high underemployment level persisted. Patients with seizures in each year after surgery fared worst (despite reduced seizure frequency), with increased unemployment after surgery. Age at surgery also influenced vocational outcome in patients who were unemployed before surgery. Historical, educational, cognitive, and behavioral measures did not correlate with vocational outcome. Employment gains came slowly; unemployed patients took up to 6 years to obtain work after surgery. Of 13 students at the time of surgery, 11 have graduated and nine are now employed. We conclude that seizures play a large role in limiting employment, and that by alleviating seizures, temporal lobectomy improves employability in people with refractory epilepsy. Surgery thereby provides benefit to individuals with epilepsy by increasing financial independence and to society by reducing unemployment.

AB - We evaluated employment after temporal lobectomy for refractory epilepsy in 86 patients (3.5 to 8 years of follow-up). Seventy-three patients qualified for the work force before and after surgery. Unemployment rates declined after surgery (18 patients [25%] unemployed before surgery, eight patients [11%] unemployed after surgery), and underemployment also tended to diminish. Improvement in occupational status related strongly to the degree of postoperative seizure relief. Seizure-free patients fared better (no unemployment, little underemployment) than patients with some seizure-free years and some years with seizures after surgery, whose high underemployment level persisted. Patients with seizures in each year after surgery fared worst (despite reduced seizure frequency), with increased unemployment after surgery. Age at surgery also influenced vocational outcome in patients who were unemployed before surgery. Historical, educational, cognitive, and behavioral measures did not correlate with vocational outcome. Employment gains came slowly; unemployed patients took up to 6 years to obtain work after surgery. Of 13 students at the time of surgery, 11 have graduated and nine are now employed. We conclude that seizures play a large role in limiting employment, and that by alleviating seizures, temporal lobectomy improves employability in people with refractory epilepsy. Surgery thereby provides benefit to individuals with epilepsy by increasing financial independence and to society by reducing unemployment.

UR - http://www.scopus.com/inward/record.url?scp=0029031559&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029031559&partnerID=8YFLogxK

M3 - Article

C2 - 7746417

AN - SCOPUS:0029031559

VL - 45

SP - 970

EP - 977

JO - Neurology

JF - Neurology

SN - 0028-3878

IS - 5

ER -