Epilepsy surgery in older patients – English Version

Removal of the seizure focus, either by resection or laser thermal ablation, has a high chance to result in freedom well-selected patients with focal drug-resistant epilepsy. Vagus nerve stimulation and deep brain are palliative approaches, which aim reduce number severity epileptic seizures. In older there seems be an overall reluctance respect all epilepsy surgery procedures. this context, “older” means age 50 years above. article, we assess if clinically relevant differences outcome complications compared younger when using different approaches. Overall, available reliable data sparse hardly any studies quality. Most almost 700 on resective surgery, predominantly from retrospective monocentric temporal lobe summary, it that rates do not differ significantly patients; however, cannot ruled out group rather clear straightforward cases have been resected. For ablation procedures, no specific exist. The minimally invasive approach few complications, may interesting particularly for patients. With vagus stimulation, give evidence efficacy safety vs.