Selection of ideal candidates for epilepsy surgery in developing countries.

作者: Radhakrishnan K , Cherian Pj

DOI:

关键词:

摘要: In order to become cost-effective, epilepsy surgery centers in developing countries will have achieve excellent results by selecting candidates destined a seizure-free outcome using locally available limited technology and expertise, without compromising on patient safety. Our experience illustrates that this goal can be accomplished patients, whose epileptogenic zone unquestionably established, based history, magnetic resonance imaging, interictal ictal scalp electroencephalogram findings. Patients with mesial temporal lobe epilepsy, those circumscribed potentially lesions belong category. A stepwise approach reserving more difficult treat patients later date as develops, or referring them better-equipped center, help each center understand its capabilities limitations move forward. It would essential work educate the local public professionals, if program region were lasting impact, is encouraging note that, despite major challenges, last one-decade, several world not only successfully implemented programs, but also produced comparable from developed at fractional cost.

参考文章(22)
Gaekwad S, Padma Mv, Sarkar C, Maheshwari Mc, Bal Cs, Bhatia M, Jain S, Gupta S, Dash Hh, Singh Vp, Epilepsy surgery in India: All India Institute of Medical Sciences experience. Journal of Association of Physicians of India. ,vol. 47, pp. 492- 495 ,(1999)
Padmavathy N. Sylaja, Kurupath Radhakrishnan, The role of scalp EEG in the presurgical evaluation of patients with medically refractory temporal lobe epilepsy American Journal of Electroneurodiagnostic Technology. ,vol. 40, pp. 116- 135 ,(2000) , 10.1080/1086508X.2001.11079336
Heinz-Gregor Wieser, Herbert Silfvenius, Overview: epilepsy surgery in developing countries. Epilepsia. ,vol. 41, ,(2000) , 10.1111/J.1528-1157.2000.TB01538.X
David C. Spencer, Martha J. Morrell, Michael W. Risinger, The Role of the Intracarotid Amobarbital Procedure in Evaluation of Patients for Epilepsy Surgery Epilepsia. ,vol. 41, pp. 320- 325 ,(2000) , 10.1111/J.1528-1157.2000.TB00162.X
Patrick Kwan, Martin J. Brodie, Early Identification of Refractory Epilepsy New England Journal of Medicine. ,vol. 342, pp. 314- 319 ,(2000) , 10.1056/NEJM200002033420503
R. Sridharan, B. N. Murthy, Prevalence and pattern of epilepsy in India. Epilepsia. ,vol. 40, pp. 631- 636 ,(1999) , 10.1111/J.1528-1157.1999.TB05566.X
Malla Bhaskara Rao, Kurupath Radhakrishnan, Is Epilepsy Surgery Possible in Countries with Limited Resources Epilepsia. ,vol. 41, ,(2000) , 10.1111/J.1528-1157.2000.TB01543.X