Hoje achei na internet um material ótimo para estudar cirurgia para epilepsia, um artigo do Centro de Epilepsia do Massachusetts General Hospital, da Escola de Medicina de Harvard.
Today I was studying and I found a very nice article about epilepsy surgery, from Massachusetts General Hospital Epilepsy Center, Harvard Medical School.
"INTRODUCTION
In the majority of patients with epilepsy, seizures
can be well controlled with appropriate medication. However, current estimates
indicate that 20 - 30% of patients with epilepsy are refractory to all forms of
medical therapy.(1) These medically intractable patients are candidates for
surgical treatment in an attempt to achieve better seizure control. Another
group of patients who might benefit are those whose seizures may be relatively
well controlled but who have certain characteristic presentations or lesions
that strongly suggest surgical intervention might be curative. Overall, the
single most important determinant of a successful surgical outcome is patient
selection. This requires detailed presurgical evaluation to characterize seizure
type, frequency, site of onset, psychosocial functioning and degree of
disability in order to select the most appropriate treatment from a variety of
surgical options. This type of evaluation is best carried out at a
multi-disciplinary center experienced in the investigation and treatment of
epilepsy.
In this article, we will outline the essential
elements of the presurgical evaluation as well as the diagnostic surgical
procedures required for invasive EEG monitoring and then describe the variety of
therapeutic surgical options including indications, techniques, results and
complications of each procedure... "
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