KOCHEN Sara Silvia
congresos y reuniones científicas
Evidence-based recommendations for the assessment to epilepsy surgery in a developing country
KOCHEN, ODDO, PEREYRA, LATINI, INFANDIDES, SEIFER, CONSALVO, SEOANE
Congreso; 30th international epilepsy congress; 2013
IBE - ILAE
Evidence-based recommendations for the assessment to epilepsy surgery in a developing country Purpose: This reliance on well-trained epileptologists and epilepsy neurosurgeons for the liable development of Epilepsy Surgery Program (EPC). And one essential question it is recognized the differents candidates of surgical treatment. Method: Our experience in training within the context of our own reality either exclusively or as a complement of training obtained in more developed centers. A possible scenario it is when the epileptogenic zone can be unquestionably localized, it will all depend on the ability of epileptologists and neuropsychologists using locally available technology. An other scenario exist when the available data is not enough, and further refinement in localization would depend on additional complexity human and technology resources. Results: In our experience, most of the patients reported were evaluated with the technology available in the 1990s, epilepsy monitoring unit, MRI imaging, operating theaters, and intensive care unit, may be thought of as the minimum requirement and is available at most incipient centers of the Third World. In the last time we introduced some news technologies, but it is indispensable in selected patients. One of most critical problem with adult patients, is the average duration of epilepsy before referral to surgery. It was over to 19 years, furthermore, almost 50% of patients were self-referred, and half of this group had been advised by their primary neurologist not to consider surgery. Conclusion: These patients need to be identified early in life before the psychosocial consequences of prolonged disability prevent useful rehabilitation, even if the patient eventually undergoes epilepsy surgery and becomes seizure free. The results obtained in our experience, not significantly dissimilar from results obtained of centers most experience in developed countries.