Why Consider Early Epilepsy Surgery?
نویسنده
چکیده
Various epilepsy surgery procedures can be used to cure or reduce seizure frequency. Most procedures are either designed to resect or disconnect the area of the brain where seizures originate or spread. Epilepsy surgery is a procedure that either removes or isolates the area of the brain where seizures originate. Epilepsy surgery can significantly improve seizure control in a carefully selected group of individuals. Seizure freedom can be as high as 70-80%, and a large percentage of patients can have a significant reduction in seizure frequency or disabling seizures following surgery. However, referral for evaluation often is delayed and occurs years later after numerous medications have been tried. Unfortunately, it often takes 20 years for a patient to be referred for evaluation for epilepsy surgery.
منابع مشابه
Epilepsy Surgery for Pediatric Epilepsy: Optimal Timing of Surgical Intervention
Pediatric epilepsy has a wide variety of etiology and severity. A recent epidemiological study suggested that surgery might be indicated in as many as 5% of the pediatric epilepsy population. Now, we know that effective epilepsy surgery can result in seizure freedom and improvement of psychomotor development. Seizure control is the most effective way to improve patients neurologically and psych...
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The effectiveness of resective surgery for the treatment of carefully selected patients with medically intractable, localization-related epilepsy is clear. Seizure-free rates following temporal lobectomy are consistently 65% to 70% in adults and 68% to 78% in children. Extratemporal resections less commonly lead to a seizure-free outcome, although one recent childhood series reported a seizure-...
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Article abstract—Nonpharmacologic options for the treatment of epilepsy include epilepsy surgery, vagus nerve stimulation, and the ketogenic diet. The advantages and limitations of these treatment modalities have been extensively reviewed, but there is no general consensus on when each option should be considered. The authors propose an algorithm based on the type of epilepsy. Generally, nonpha...
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