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Getting the best outcomes from epilepsy surgery.

Authors :
Vakharia VN
Duncan JS
Witt JA
Elger CE
Staba R
Engel J Jr
Source :
Annals of neurology [Ann Neurol] 2018 Apr; Vol. 83 (4), pp. 676-690. Date of Electronic Publication: 2018 Apr 10.
Publication Year :
2018

Abstract

Neurosurgery is an underutilized treatment that can potentially cure drug-refractory epilepsy. Careful, multidisciplinary presurgical evaluation is vital for selecting patients and to ensure optimal outcomes. Advances in neuroimaging have improved diagnosis and guided surgical intervention. Invasive electroencephalography allows the evaluation of complex patients who would otherwise not be candidates for neurosurgery. We review the current state of the assessment and selection of patients and consider established and novel surgical procedures and associated outcome data. We aim to dispel myths that may inhibit physicians from referring and patients from considering neurosurgical intervention for drug-refractory focal epilepsies. Ann Neurol 2018;83:676-690.<br /> (© 2018 The Authors Annals of Neurology published by Wiley Periodicals, Inc. on behalf of American Neurological Association.)

Details

Language :
English
ISSN :
1531-8249
Volume :
83
Issue :
4
Database :
MEDLINE
Journal :
Annals of neurology
Publication Type :
Academic Journal
Accession number :
29534299
Full Text :
https://doi.org/10.1002/ana.25205