medigraphic.com
Academia Mexicana de Neurología, A.C.

2019, Number 2

<< Back Next >>

Rev Mex Neuroci 2019; 20 (2)

Clinical guideline: pre-operative evaluation of epilepsy surgery

Ruiz-García M, Alonso-Vanegas MA, Pérez-Reyes SP, Quiñones-Canales G, Rodríguez-Leyva I, Martínez-Rodríguez HR, Barragán-Pérez E

Language: English
References: 21
Page: 116-122
PDF size: 113.36 Kb.


ABSTRACT

Epilepsy surgery is an approved treatment for the management of drug-resistant epilepsy or refractory epilepsy (RE). Approximately one-third of patients with epilepsy will develop RE. RE is considered a serious public health threat carrying important biopsychosocial consequences including seizure-related accidents, professional limitations, and increased risk of sudden death. Epilepsy surgery is associated with seizure remission in approximately 65% of patients after a 5 year follow-up. Patients with drug-resistant epilepsy should be referred to a specialized center for a pre-operative evaluation. Pre-operative evaluation requires at least a detailed clinical analysis, an electroencephalogram (EEG) and video-EEG, a cranial magnetic resonance imaging test, as well as neuropsychological, developmental, and psychiatric evaluations. The most common surgical procedures are temporal lobe resections, extratemporal and multilobar resections, lesionectomy, hemispherectomies, callosotomies, and multiple subpial transections, in descending order of frequency.


REFERENCES

  1. Rathore C, Radhakrishnan K. Concept of epilepsy surgery and presurgical evaluation. Epileptic Disord. 2015;17:19-31.

  2. Wiebe S, Blume WT, Girvin JP, Eliasziw M, Effectiveness, efficiency of surgery for temporal lobe epilepsy study group. A randomized, controlled trial of surgery for for temporal-lobe epilepsy. N Engl J Med. 2001; 345(5):311-8.

  3. Pindrik J, Hoang N, Smith L, et al. Preoperative evaluation and surgical management of infants and toddlers with drug-resistant epilepsy. Neurosurg Focus. 2018;45:E3.

  4. Begley CE, Annegers JF, Lairson DR, Reynolds TF, Hauser WA. Cost of epilepsy in the United States: a model based on incidence and prognosis. Epilepsia. 1994;35:1230-43.

  5. Kwan P, Arzimanoglou A, Berg AT, et al. Definition of drug resistant epilepsy: Consensus proposal by the ad hoc task force of the ILAE commission on therapeutic strategies. Epilepsia. 2010;51:1069-77.

  6. Ryvlin P, Cross JH, Rheims S. Epilepsy surgery in children and adults. Lancet Neurol. 2014;13:1114-26.

  7. Andaluza G, Epilepsia D. Diagnóstico y Tratamiento de la Epilepsia en Niños y Adultos. Sociedad Andaluza de Epilepsia. Viguera Editores. Saint Louis: Saint Louis University; 2015.

  8. Helmstaedter C. Neuropsychological aspects of epilepsy surgery. Epilepsy Behav. 2004;5 Suppl 1:S45-55.

  9. Helmstaedter C. Cognitive outcomes of different surgical approaches in temporal lobe epilepsy. Epileptic Disord. 2013;15:221-39.

  10. Engel J Jr., Wiebe S, French J, et al. Practice parameter: temporal lobe and localized neocortical resections for epilepsy: report of the quality standards subcommittee of the American academy of neurology, in association with the American epilepsy society and the American association of neurological surgeons. Neurology. 2003;60:538-47.

  11. Téllez-Zenteno JF, Dhar R, Wiebe S. Long-term seizure outcomes following epilepsy surgery: a systematic review and meta-analysis. Brain. 2005;128:1188-98.

  12. West S, Nolan SJ, Cotton J, et al. Surgery for epilepsy. Cochrane Database Syst Rev. 2015;7:CD010541.

  13. Sander JW, Shorvon SD. Epidemiology of the epilepsies. J Neurol Neurosurg Psychiatry. 1996;61:433-43.

  14. Kalilani L, Sun X, Pelgrims B, Noack-Rink M, Villanueva V. The epidemiology of drug-resistant epilepsy: a systematic review and meta-analysis. Epilepsia. 2018;59:2179-93.

  15. Pre-surgical evaluation for epilepsy surgery European standards. European federation of neurological societies task force. Eur J Neurol. 2000; 7:119-22.

  16. Engel J Jr. Mesial temporal lobe epilepsy: what have we learned? Neuroscientist. 2001;7:340-52.

  17. Semah F, Picot MC, Adam C, et al. Is the underlying cause of epilepsy a major prognostic factor for recurrence? Neurology. 1998;51:1256-62.

  18. Jayakar P, Gaillard WD, Tripathi M, et al. Diagnostic test utilization in evaluation for resective epilepsy surgery in children. Epilepsia. 2014; 55:507-18.

  19. Wyllie E, Comair YG, Kotagal P, et al. Seizure outcome after epilepsy surgery in children and adolescents. Ann Neurol. 1998;44:740-8.

  20. Engel J Jr., McDermott MP, Wiebe S, et al. Early surgical therapy for drug-resistant temporal lobe epilepsy: a randomized trial. JAMA. 2012; 307:922-30.

  21. Ryvlin P, Kahane P. Does epilepsy surgery lower the mortality of drug-resistant epilepsy? Epilepsy Res. 2003;56:105-20.




2020     |     www.medigraphic.com