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Outcomes after Epilepsy Surgery

Published online by Cambridge University Press:  02 December 2014

José F. Téllez-Zenteno*
Affiliation:
Division of Neurology, Department of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan
Lizbeth Hernandez-Ronquillo
Affiliation:
Division of Neurology, Department of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan
Jorge Burneo
Affiliation:
Epilepsy Program, Departments of Clinical Neurological Sciences, Schulich School of Medicine, Western University, London, Ontario, Canada
*
Department of Medicine, Division of Neurology, Royal University Hospital, Saskatoon, Saskatchewan, S7N 0W8, Canada. Email: [email protected]
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Abstract

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Epilepsy surgery is a highly effective and durable treatment for specific types of drug resistant epilepsy such as temporal lobe epilepsy. assessment of outcomes is essential in epilepsy surgery, which is an irreversible intervention for a chronic condition. Excellent short-term results of resective epilepsy surgery have been established. In the last years more information regarding long term outcomes have been published. This article reviews the best available evidence about the best measures to assess outcomes and the most important evidence. The outcomes reviewed in this article are the following: seizure outcome, social and psychiatric outcomes, complications and mortality.

Résumé

RÉSUMÉ

La chirurgie de l'épilepsie est un traitement très efficace et durable de certains types bien spécifiques d'épilepsies pharmacorésistantes telle l'épilepsie du lobe temporal. L'évaluation des résultats est essentiel dans la chirurgie de l'épilepsie, une intervention irréversible effectuée pour traiter une maladie chronique. Les excellents résultats à court terme de la résection chirurgicale sont bien connus. au cours des dernières années, des informations supplémentaires sur les résultats à long terme ont été publiés. Cet article revoit les meilleures données disponibles concernant les meilleures méthodes d'évaluation des résultats et les données les plus importantes. Nous revoyons les résultats suivants : l'effet sur les crises, l'impact social et psychiatrique, les complications et la mortalité.

Type
Research Article
Copyright
Copyright © The Canadian Journal of Neurological 2012

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