IBCN   20355
INSTITUTO DE BIOLOGIA CELULAR Y NEUROCIENCIA "PROFESOR EDUARDO DE ROBERTIS"
Unidad Ejecutora - UE
congresos y reuniones científicas
Título:
Improving the readiness of epilepsy surgery candidates during electrical stimulation through invasive EEG
Autor/es:
SOLIS P; MEDEL N; LOMLOMDJIAN C; MUNERA CP; VALERIANO L; TERPILUK V; KOCHEN S
Lugar:
Montreal
Reunión:
Congreso; 30th International Epilepsy Congress; 2013
Institución organizadora:
ILAE- IBE
Resumen:
IMPROVING THE READINESS OF EPILEPSY SURGERY CANDIDATES DURING ELECTRICAL STIMULATION THROUGH INVASIVE EEG Solis P1, Medel N1, Lomlomdjian C1, Munera C1, Valeriano L1, Terpiluk V1, Kochen S1,2 1Hospital Ramos Mejia, Buenos Aires, Argentina, 2IBCN Epilepsy Laboratory, CONICET. Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina Purpose: To improve the readiness of patients in cognitive tasks during electrical stimulation through invasive EEG (iEEG) in presurgical evaluation of epilepsy surgery candidates. Method: Two to five training sessions, 30 min each, are performed by a neuropsychologist about one or two weeks before iEEG. These ones consist of an explanation of the positive or negative responses that may occur during electrical stimulation related to planned tasks. It is also given information to patients about the characteristics of the whole procedure to provide more confidence and optimal cooperation. Result: Seven patients were assessed in 2012. Four patients explore the temporal lobe, two in the occipital lobe and one frontal lobe. Were considered: age, education level, baseline cognitive status, psychiatric diagnosis, type of epilepsy, area to explore, implant type and type of cognitive task. We observed that these patients showed commitment, sustained attention and improved quality of response. Changes were considered subjectively in relation to the experience of previous years. Conclusion: Responsiveness and reliability are better when patients know and are engaged in the relevance of responses obtained during electrical stimulation to optimize the surgical treatment. The neuropsychologist intervention in the patient training has become essential.