Author by:
Josef Zentner
Wolfgang Seeger
Books Description
Surgery offers a highly efficient treatment option for patients with pharmacoresistant epilepsies. While most surgical procedures aim at curative treatment, others have been designed for palliative purposes. Although standardized procedures are available, surgical techniques actually applied vary greatly. However, to date no comprehensive overview on different methods is available. The book by Zentner and Seeger compensates for these shortcomings. It comprises the wide spectrum of current procedures and provides a thorough description of surgical steps. Moreover, detailed information as to results and complications of different procedures is given. Thus, this book not only contains practical instructions for neurosurgeons, but also enables neurologists and epileptologists to understand possibilities and limitations of epilepsy surgery and facilitates adequate consultation of patients and relatives.
In the majority of patients with epilepsy, seizures can be well controlled with appropriate medication. However, current estimates indicate that 20 - 30% of patients with epilepsy are refractory to all forms of medical therapy.(1) These medically intractable patients are candidates for surgical treatment in an attempt to achieve better seizure control. Another group of patients who might benefit are those whose seizures may be relatively well controlled but who have certain characteristic presentations or lesions that strongly suggest surgical intervention might be curative. Overall, the single most important determinant of a successful surgical outcome is patient selection. This requires detailed presurgical evaluation to characterize seizure type, frequency, site of onset, psychosocial functioning and degree of disability in order to select the most appropriate treatment from a variety of surgical options. This type of evaluation is best carried out at a multi-disciplinary center experienced in the investigation and treatment of epilepsy.
Books Details
Hardcover: 200 pages
Publisher: Springer; 1 edition (January 2010)
Language: English
ISBN-10: 3211837701
ISBN-13: 978-3211837702
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