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Academia Mexicana de Neurología, A.C.

2014, Number 2

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Rev Mex Neuroci 2014; 15 (2)

Complications of surgical treatment of drug-resistant epilepsy in the General Hospital of Mexico

Espinoza-Velázquez F, Vázquez-Barrón D, Montes De Oca M, Cuéllar-Herrera M, Velasco AL

Language: Spanish
References: 18
Page: 69-73
PDF size: 146.12 Kb.


ABSTRACT

Introduction: Surgical treatment of refractory epilepsy implies a risk of complications that, if identified in an early stage and are handled correctly, will not alter the outcome of the surgery.
Objective: To describe the complications of the surgical treatment for epilepsy in patients of the Epilepsy Clinic of the General Hospital of Mexico, a third-level reference institution of the whole country.
Methods: A retrospective revision of the patients who were operated on from 1992 to 2013 was performed. A total of 227 patients were reviewed. Ten patients with lesions such as tumors, cysticercosis, venous malformations, and 2 with incomplete reports were excluded.
Results: A total of 12.7% of the patients had complications during the first 30 days after surgery, of whom 6.32% were intraoperative, 4.47% immediate, and 3.08% mediate after surgery. A total of 62.02% occurred after temporal lobectomy and 17.24% after implanting diagnostic electrodes. The most common were ischemic lesions.
Conclusion: In our institution the frequency of postsurgical complications is within the lower range that has been reported in the literature. The most frequent are those occurring during the surgery.


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