Surgical treatment of epilepsy

Abstract

The purpose in epilepsy treatment is the complete control of seizures and the minimization of the side effects of antiepileptic drugs.Epilepsy clinics deal a wide range of diagnostic and therapeutic problems of patients with uncontrolled seizures. The choice of surgical treatment must be considered in such patients who are resistant medical treatment.

Keywords

• epilepsy, resistant epilepsy, surgical treatment

References

1. Spencer DD, Spencer SS, Mattson RH, Williamson PD, Novelly RA. Access to the posterior medial temporal lobe structures in the surgical treatment of temporal lobe epilepsy. Neurosurgery 1984;15(5):667-71.
2. Recommended guidelines for diagnosis and treatment in specialized epilepsy centers. Epilepsia 1990;31(Suppl):1-12.
3. Baumgartne C, Watschınger SA, Czech T, Eder HG, Feichtinger M, Feucht M,Gallmetzer P et all. Cerrahisi Öncesi Değerlendirme Ve Epilepsi Cerrahisi: Güncelleme. Epilepsi 2008;14(2): 111-130
4. Berg AT. Defining intractable epilepsy. Adv Neurol 2006; 97: 5.10.
5. French JA. Refractory epilepsy: one size does not fit all. Epilepsy Curr 2006; 6: 177.80.
6. Aicardi J, Shorvon SD. Intractable epilepsy. In: Engel J Jr, Pedley TA (eds). Epilepsy: A Comprehensive Textbook. Lippincott- Raven Publishers, Philadelphia, 1997; 1325.31.
7. Gilliam F. Optimizing health outcomes in active epilepsy. Neurology 2002; 58: S9.S20.
8. Gilliam FG, Fessler AJ, Baker G, et al. Systematic screening allows reduction of adverse antiepileptic drug effects: a randomized trial. Neurology 2004; 62: 23.7.

9. Engel J Jr, Wiebe S, French J, et al. Practice parameter: temporal lobe and localized neocortical resections for epilepsy: report of the Quality Standards Subcommittee of the American Academy of Neurology, in association with the American Epilepsy Society and the American Association of Neurological Surgeons. Neurology 2003; 60: 538.47.
10. Bilir E. Adult Epilepsy Surgery : Presurgical Evaluations. Turk Nöroşirurji Dergisi 12: 7 - 15, 2002
11. Gaillard WD. Metabolic and functional neuroimaging. In: Wyllie E (ed). The Treatment of Epilepsy: Principles and Practice. 3rd ed.Lippincott Williams & Wilkins, Philadelphia, 2001; 1053.66.
12. Ryvlin P, Bouvard S, Le Bars D, et al. Clinical utility of flumazenil- PET versus [18F] fluorodeoxyglucose-PET and MRI in refractory partial epilepsy. A prospective study in 100 patients. Brain 1998; 121: 2067.81.
13. Chelune GJ:The role of neuropsychological evaluation of the epilepsy surgery candidate, Wyler AR, Heumann BP (eds), The Surgical Treatment of Epilepsy, first edition, New York: Butterworth Heinemann 1994; 78-89
14. Morrell F, Whistler WW, Bleck TP. Multiple subpial transection: a new approach to the surgical treatment of focal epilepsy. J Neurosurg 1989; 70: 231.9.
15. Roberts DW, Rayport M, Maxwell RE, et al. Corpus callosotomy In: Engel J Jr (ed). Surgical Treatment of the Epilepsies. 2nd ed.Raven Press, New York, 1993; 519.26.
16. Wieser HG, Blume WT, Fish D, et al. ILAE Commission Report. Proposal for a new classification of outcome with respect to epileptic seizures following epilepsy surgery. Epilepsia 2001; 42:282.6.
17. Helmstaedter C, Kurthen M, Lux S, et al. Chronic epilepsy and cognition: a longitudinal study in temporal lobe epilepsy. Ann Neurol 2003; 54: 425.32.
18. Jokeit H, Ebner A. Long term effects of refractory temporal lobe epilepsy on cognitive abilities: a cross sectional study. J Neurol Neurosurg Psychiatry 1999; 67: 44.50.