Surgical treatment of epilepsy

Authors

  • Manuel Gonçalves Interno do Internato Complementar de Neurologa, Serviço de Neurologia do Hospital de Santo António dos Capu­chos, Lisboa
  • Rita Almeida Assistente Eventual de Neurologia, Serviço de Neurologia do Hospital de Santo António dos Capu­chos, Lisboa

Keywords:

epilepsy, epilepsy surgery, tempo­ral lobe epilepsy

Abstract

Antiepileptic drugs remain the mainstay of treatment of patients with epilepsy. However, we must have surgical therapy as an optionfor those patients who are not completely free of seizures and for those who are free of seizures but suffer toxic side effects. Advances in diagnostic testing and surgical technique have greatly im­proved the safety and efficacy of surgical treat­ment, particularly for clearly defined, surgically remediable syndromes such as mesial temporal lobe epilepsy and certain pediatric disorders. Surgery for epilepsy has now become an option that should be considered along with various medical treatment options.

Downloads

Download data is not yet available.

References

Horsley V. Brain Surgery. BMJ 1886; 2: 670-675.

Penfield W, Jasper H. Epilepsy and the Functional Anatomy of the Human Brain. Boston, Little, Brown, and Company, 1954.

Engel J. Update on Surgical Treatment of the Epilepsies. Neuro­logy 1993; 43: 1612-1617.

Engel J. Epilepsy Surgery. Current Opinion in Neurology 1994; 7: 140-147.

Devinsky O, Pacia S. Epilepsy Surgery. Neurologic Clinics 1993; 11: 951-971.

Relatório Sobre a Cirurgia da Epilepsia em Portugal. Comissão ad hoc da Liga Portuguesa contra a Epilepsia, 1992.

Engel J, Shewmon D. Overview: Who Should be Considered a Surgical Candidate ? ln Engel JJr (Ed): "Surgical Treatment of the Epilepsies", Edn 2. Raven Press, New York, 1993:23-34

Philippon J, Clémenceau S, Baulac M. Chirurgie de l'Épilepsie du Lobe Temporal.Rev Neurol 1994; 150: 185-195.

Duchowny M. ldentification of Surgical Candidates and Timing of Operation: An Overview. ln Wyllie E (Ed), "The Treat­ment of Epilepsy: Principies and Practice", Lea & Febiger, Philadelphia, 1993: 999-1008.

Henriksen O. What is Needed from a Neurological Point of View? Acta Neurol Scan 1994; Suppl 152: 190-191.

Mattson R. Drug Treatment of Uncontrolled Seizures. ln The­ odore WH (ed): "Surgical Treatment of Epilepsy", New York, Elsevier 1992: 29-35

Holmes G. Surgery for Intractable Seizures in Infancy and Early Childhood. Neurology 1993; 43 (suppl 5)S28-S37

Arroyo S, Freeman]. Epilepsy Surgery in Children: State of the Art. Advances in Pediatrics 1994; 41: 53-81.

Ogunmekan A, Hwang P, Hoffan H. Sturge-Weber-Dimitri Dise­ase: Role of Hemispherectomy in Prognosis. CanJ Neurol Sci 1989; 16: 78.

15. Resnick T, Duchowny M, Jayakar P. Early Surgery for Epilepsy: Redefining Candidacy. J Child Neurol 1994; 9(suppl): 2S36- 2S41.

Duchowny M, Levin B, Jayakar P, Resnick T. Neurobiologic Considerations in Early Surgery for Epilepsy. J Child Neurol 1994; 9(suppD: 2S42-2S49.

Engel J: Outcome With Respect to Epileptic Seizures. ln Engel J Jr (Ed): "Surgical Treatment of the Epilepsies". Raven Press, New York, 1987: 553-571.

Van Buren J: Complications of Surgical Procedures in the Di­agnosis and the Treatment of Epilepsy. ln Engel J Jr (Ed). "Surgical Treatment of the Epilepsies". Raven Press, New York, 1987: 465-475.

Lesser R, Fischer R, Uematsu S. Assessment of Surgical Outco­me. ln Theodore WH (ed): "Surgical Treatment of Epilep­sy", New York, Elsevier, 1992: 217-229.

Purves S, Wada J, Woodhurst W, et al. Results of Anterior Cor­ pus Callosum Section in 24 Patients with Medically lntracta­ble Seizures. Neurology 1988; 38: 1194-1201.

Spencer S, Spencer D, Williamson P, et al. Corpus Callosotomy for Epilepsy: 1: Seizure Effects. Neurology 1988; 38: 19-24.

Wyler A. Corpus Callosotomy. ln Theodore WH (ed): "Surgi­cal Treatment of Epilepsy", New York, Elsevier 1992: 205- 208.

Vining E, Freeman J, Brandt J, et al. Progressive Unilateral Ence­halopathy of Childhood (Rasmussen's Syndrome): a Reappraisal. Epilepsia 1993; 34: 639

Chugani H, Shewmon D, Shields W et ai. Surgery for lntractable Infantile Spasms: Neuroimaging Perspectives. Epilepsia 1993; 34: 764.

Hrachovy R, Frost J, Glazed D et ai. Surgical Treatment for ln­fantile Spasms? Ann Neurol 1991; 29: 110.

Additional Files

Published

1996-03-29

How to Cite

1.
Gonçalves M, Almeida R. Surgical treatment of epilepsy. RPMI [Internet]. 1996 Mar. 29 [cited 2024 May 19];3(1):43-8. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/2262

Issue

Section

Review Articles

Most read articles by the same author(s)