Epilepsy surgery in developing countries.

摘要: Epilepsy surgery (ES) is a well-accepted treatment for medically intractable epilepsy patients in developed countries, but it highly technology dependent. Such not usually available developing countries. For presurgical evaluation, magnetic resonance imaging (MRI) and electroencephalogram recording while videotaping the patient have been important. High equipment will, conjunction with MRI, identify approximately 70% of ES candidates. Introducing into countries will require determining candidates that are appropriate existing medical infrastructure. This article reviews its possible introduction conditions The authors address (a) types to be considered resective (some fairly standard series noninvasive studies: others extensive invasive studies), (b) ways determine which might situation (unilateral mesial temporal lobe detected circumscribed MRI lesion, hemispheric lesions, neuronal migration, development disorders), (c) surgical procedures (local resection, functional hemispherectomy, multiple subpial transections, corpus callosotomy, implantation vagal nerve stimulator), (d) special considerations introducing (medical infrastructure, technology, seizure monitoring systems, selective intracarotid/carotid Amytal testing, equipment), (e) limitations, realistic expectations, personnel requirements, educational function selected professionals. Delivery expertise perform regions world realizable project, would limited by It should most areas train local thereby leave lasting legacy.