Book contents
- Understanding Epilepsy
- Understanding Epilepsy
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Chapter 1 Pathophysiology of Epilepsy
- Chapter 2 Physiologic Basis of Epileptic EEG Patterns
- Chapter 3 Pathology of the Epilepsies
- Chapter 4 Classifications of Seizures and Epilepsies
- Chapter 5 Electro-clinical Syndromes and Epilepsies in the Neonatal Period, Infancy, and Childhood
- Chapter 6 Familial Electro-clinical Syndromes and Epilepsies in Adolescence to Adulthood
- Chapter 7 Distinctive Constellations and Other Epilepsies
- Chapter 8 Seizures Not Diagnosed as Epilepsy
- Chapter 9 Nonepileptic Spells
- Chapter 10 Status Epilepticus
- Chapter 11 EEG Instrumentation and Basics
- Chapter 12 Interpreting the Normal Electroencephalogram of an Adult
- Chapter 13 Ictal and Interictal Epileptiform Electroencephalogram Patterns
- Chapter 14 Neonatal and Pediatric Electroencephalogram
- Chapter 15 Scalp Video-EEG Monitoring
- Chapter 16 Intracranial EEG Monitoring
- Chapter 17 Neuroimaging in Epilepsy
- Chapter 18 The Role of Neuropsychology in Epilepsy Surgery
- Chapter 19 Principles of Antiseizure Drug Management
- Chapter 20 Gender Issues in Epilepsy
- Chapter 21 Antiseizure Drugs
- Chapter 22 Surgical Therapies for Epilepsy
- Chapter 23 Stimulation Therapies for Epilepsy
- Chapter 24 Practical and Psychosocial Considerations in Epilepsy Management
- Chapter 25 Comorbidities with Epilepsy
- Chapter 26 System-Based Issues in Epilepsy
- Index
- References
Chapter 22 - Surgical Therapies for Epilepsy
Published online by Cambridge University Press: 11 October 2019
- Understanding Epilepsy
- Understanding Epilepsy
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Chapter 1 Pathophysiology of Epilepsy
- Chapter 2 Physiologic Basis of Epileptic EEG Patterns
- Chapter 3 Pathology of the Epilepsies
- Chapter 4 Classifications of Seizures and Epilepsies
- Chapter 5 Electro-clinical Syndromes and Epilepsies in the Neonatal Period, Infancy, and Childhood
- Chapter 6 Familial Electro-clinical Syndromes and Epilepsies in Adolescence to Adulthood
- Chapter 7 Distinctive Constellations and Other Epilepsies
- Chapter 8 Seizures Not Diagnosed as Epilepsy
- Chapter 9 Nonepileptic Spells
- Chapter 10 Status Epilepticus
- Chapter 11 EEG Instrumentation and Basics
- Chapter 12 Interpreting the Normal Electroencephalogram of an Adult
- Chapter 13 Ictal and Interictal Epileptiform Electroencephalogram Patterns
- Chapter 14 Neonatal and Pediatric Electroencephalogram
- Chapter 15 Scalp Video-EEG Monitoring
- Chapter 16 Intracranial EEG Monitoring
- Chapter 17 Neuroimaging in Epilepsy
- Chapter 18 The Role of Neuropsychology in Epilepsy Surgery
- Chapter 19 Principles of Antiseizure Drug Management
- Chapter 20 Gender Issues in Epilepsy
- Chapter 21 Antiseizure Drugs
- Chapter 22 Surgical Therapies for Epilepsy
- Chapter 23 Stimulation Therapies for Epilepsy
- Chapter 24 Practical and Psychosocial Considerations in Epilepsy Management
- Chapter 25 Comorbidities with Epilepsy
- Chapter 26 System-Based Issues in Epilepsy
- Index
- References
Summary
The International League Against Epilepsy (ILAE) put forth the definition for intractable epilepsy as the persistence of seizures despite “adequate trials of two tolerated, appropriately chosen and used antiseizure drug [ASD] schedules (whether as monotherapies or in combination).”1 The definition of medically refractory epilepsy has been debated for many years,2 and expert opinion remains divergent from common practice.3 It has been well-documented that the chances of achieving seizure freedom are minimal with additional trials of ASDs and that increased duration of seizures before surgery is associated with decreased chance of long-term seizure freedom.4 The American Association of Neurology 2015 Epilepsy Quality Measures recommend that each patient should have their diagnosis and treatment plan evaluated, and a referral for presurgical evaluation should be considered to a level 4 epilepsy center for those who are medically refractory about once every 2 years.5 As part of this referral and reassessment, surgery should be considered.
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- Understanding EpilepsyA Study Guide for the Boards, pp. 417 - 431Publisher: Cambridge University PressPrint publication year: 2019
References
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