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Revista de la Asociación Médica del Centro Médico ABC

2020, Number 3

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An Med Asoc Med Hosp ABC 2020; 65 (3)

Epilepsy and neuroimaging experience of the epilepsy surgery program Medical Center ABC

Romero FJÁ, de Font RE, Terrazo J, Shkurovich P, Ramírez NE, Arch TE, González AA

Language: Spanish
References: 15
Page: 209-213
PDF size: 251.78 Kb.


ABSTRACT

Introduction: A patient with epilepsy is considered as drug resistant, when the pharmacologic treatment lasts more than six months under correct dosage and use, and without achieving an appropriate control of the disease. This setting makes the patient a possible candidate for epileptic surgery. Magnetic resonance imaging, together with clinical findings, are essential to determine which kind of patients are good candidates for surgical treatment. Objective: To highlight the importance of magnetic resonance imaging in demonstrating the cause of seizures. Materials and methods: A retrospective observational study was performed by evaluating 23 patients included in the «Epilepsy Surgery Program» at the ABC Medical Center; the demographic, diagnostic, as well as clinical, presurgical, neuroimaging and pathology data were included. The response to the surgical treatment, as well as the epileptic progression were evaluated. Finally, the antiepileptic response to the surgical procedure was evaluated with the Engel classification. Results: Favorable results were obtained according to the discussion between the clinical, neurophysiological and neuroimaging experts, which resulted in improvement of the diagnostic protocols of heterogeneous conditions as well as adequate surgical decisions. Conclusion: The results obtained are consistent with international standards, the collaborative work of the various specialties involved is essential in the field of epilepsy surgery.


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