Epilepsy surgery
1996; Wiley; Volume: 94; Issue: 2 Linguagem: Inglês
10.1111/j.1600-0404.1996.tb07034.x
ISSN1600-0404
Autores Tópico(s)EEG and Brain-Computer Interfaces
ResumoActa Neurologica ScandinavicaVolume 94, Issue 2 p. 81-87 Epilepsy surgery M. Dam, Corresponding Author M. Dam Department of Neurology, Rigshospitalet, Copenhagen, Denmark2Department of Neurology, Rigshospitalet, DK-2100 Copenhagen, DenmarkSearch for more papers by this author M. Dam, Corresponding Author M. Dam Department of Neurology, Rigshospitalet, Copenhagen, Denmark2Department of Neurology, Rigshospitalet, DK-2100 Copenhagen, DenmarkSearch for more papers by this author First published: August 1996 https://doi.org/10.1111/j.1600-0404.1996.tb07034.xCitations: 6AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract Only 15% of patients with severe epilepsy with frequent partial seizures achieve any improvement in their seizure frequency by further drug treatment. As we know that epileptic seizures result in neuron loss with early development of mental deterioration, that the mortality rate of patients with epilepsy is increased and that an exact localization of the epileptogenic area which can be resected offers the possibility of curative treatment, we have a moral obligation to make this treatment available to people disabled with epilepsy. Surgery for mesial temporal sclerosis and lesional cortical partial epilepsy offers freedom from seizures in 70–80% of the patients, whereas non-lesional, cortical, partial epilepsy is more problematic, as only 30–40% of the patients will be seizure-free. Volumetric MRI, MR spectroscopy, SPECT and PET reduce the need for invasive monitoring in patients with temporal lobe epilepsy. Invasive recordings should be used when scalp-EEG, MRI, SPECT and PET cannot identify the epileptic focus; 50% of the patients who cannot be diagnosed by non-invasive recordings, can be diagnosed by invasive methods. 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Citing Literature Volume94, Issue2August 1996Pages 81-87 ReferencesRelatedInformation
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