• J Med Assoc Thai · Jan 2013

    Review

    Surgical treatment of epilepsy: principles and presurgical evaluation.

    • Bunpot Sitthinamsuwan and Sarun Nunta-aree.
    • Division of Neurosurgery, Department of Surgery, Faculty ofMedicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. bunpotsi@yahoo.com
    • J Med Assoc Thai. 2013 Jan 1; 96 (1): 121-31.

    BackgroundA significant number of epileptic patients suffer from medically refractory epilepsy. Epilepsy surgery is considered an appropriate option for management in such cases.ObjectiveThe surgery endeavors to eradicate disabling seizures with preservation of important neurologic function and improve long-term quality of life.Material And MethodThe authors reviewed medical literatures and researches in regard to principles and presurgical evaluation of epilepsy surgery.ResultsThe major concept in surgical therapy for epilepsy is complete resection or disconnection of the epileptogenic zone, which renders the patients seizure-free. Various diagnostic strategies can be comprehensively employed to delineate the epileptogenic zone and to identify the individual at risk for postoperative neurologic morbidity. From a surgical point of view, operative approaches for epilepsy can be categorized into resective surgery and functional surgery. Resective surgery aims to render the patients seizure-free, whereas functional procedure purposes to relieve frequency and severity of disabling seizures. Presurgical evaluation should be conducted by a specialized multidisciplinary team.ConclusionSeveral diagnostic measures and investigations involved in epilepsy surgery will be described in the article. Major steps of preoperative assessment and management algorithm for medically intractable epileptic individuals will be demonstrated as well.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…

What will the 'Medical Journal of You' look like?

Start your free 21 day trial now.

We guarantee your privacy. Your email address will not be shared.