The national temporal lobectomy survey

被引：7

作者：

DeMase, David F. ^{[1
]}

Gruenthal, Michael ^{[2
]}

Balint, John ^{[1
]}

机构：

[1] Albany Med Coll, Alden March Bioeth Inst, Albany, NY 12208 USA

[2] Albany Med Ctr Hosp, Dept Neurol, Albany, NY 12208 USA

来源：

SEIZURE-EUROPEAN JOURNAL OF EPILEPSY | 2009年 / 18卷 / 10期

关键词：

Epilepsy; Temporal lobectomy; Pharmacoresistance; Antiepileptic drugs; Preoperative counseling; Informed consent; Wada test; QUALITY-OF-LIFE; EPILEPSY SURGERY; LOBE EPILEPSY; FOLLOW-UP;

D O I：

10.1016/j.seizure.2009.10.005

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objective: To assess selection criteria for temporal lobectomy and to evaluate the process for pre-surgical evaluation, informed consent, and the definition of success. Methods: We constructed an electronic survey instrument composed of 26 questions and sent it to epileptologists and neurosurgeons at 105 US epilepsy centers. Results: While variation with the number of drug failures that signify pharmacoresistance and surgical candidacy exists, there does appear to be a consensus. The definition of a successful Surgery also varies. Furthermore, physicians differ with regard to appropriate preoperative tests that determine surgical candidacy and may predict surgical outcome. The informed consent process provided is thorough for some aspects Of Surgery and incomplete for other significant aspects. Conclusion: The data show that the neurological community Currently does not have consistent definitions and practices in the management of pharmacoresistant epilepsy. Therefore, there appears to be need for developing a unified approach. (C) 2009 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

引用

页码：702 / 710

页数：9

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