Epilepsy surgery in children and adults
Summary Epilepsy surgery is the most effective way to control seizures in patients with drug-resistant focal epilepsy, often leading to improvements in cognition, behaviour, and quality of life. Risks of serious adverse events and deterioration of clinical status can be minimised in carefully select...
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| Veröffentlicht in: | Lancet neurology 2014-11, Vol.13 (11), p.1114-1126 |
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| container_title | Lancet neurology |
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| creator | Ryvlin, Philippe, Prof Cross, J Helen, Prof Rheims, Sylvain, MD |
| description | Summary Epilepsy surgery is the most effective way to control seizures in patients with drug-resistant focal epilepsy, often leading to improvements in cognition, behaviour, and quality of life. Risks of serious adverse events and deterioration of clinical status can be minimised in carefully selected patients. Accordingly, guidelines recommend earlier and more systematic assessment of patients' eligibility for surgery than is seen at present. The effectiveness of surgical treatment depends on epilepsy type, underlying pathology, and accurate localisation of the epileptogenic brain region by various clinical, neuroimaging, and neurophysiological investigations. Substantial progress has been made in the methods of presurgical assessment, particularly in patients with normal features on MRI, but evidence is scarce for the indication and effect of most presurgical investigations, with no biomarker precisely delineating the epileptogenic zone. A priority for the development of epilepsy surgery is the generation of high-level evidence to promote the harmonisation and dissemination of best practices. |
| doi_str_mv | 10.1016/S1474-4422(14)70156-5 |
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Risks of serious adverse events and deterioration of clinical status can be minimised in carefully selected patients. Accordingly, guidelines recommend earlier and more systematic assessment of patients' eligibility for surgery than is seen at present. The effectiveness of surgical treatment depends on epilepsy type, underlying pathology, and accurate localisation of the epileptogenic brain region by various clinical, neuroimaging, and neurophysiological investigations. Substantial progress has been made in the methods of presurgical assessment, particularly in patients with normal features on MRI, but evidence is scarce for the indication and effect of most presurgical investigations, with no biomarker precisely delineating the epileptogenic zone. A priority for the development of epilepsy surgery is the generation of high-level evidence to promote the harmonisation and dissemination of best practices.</description><identifier>ISSN: 1474-4422</identifier><identifier>EISSN: 1474-4465</identifier><identifier>DOI: 10.1016/S1474-4422(14)70156-5</identifier><identifier>PMID: 25316018</identifier><identifier>CODEN: LANCAO</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Child ; Drug resistance ; Electroencephalography - methods ; Electroencephalography - trends ; Epilepsy ; Epilepsy - diagnosis ; Epilepsy - physiopathology ; Epilepsy - surgery ; Humans ; Neurology ; Neurosurgical Procedures - methods ; Neurosurgical Procedures - trends ; Quality of life ; Studies ; Surgery ; Treatment Outcome</subject><ispartof>Lancet neurology, 2014-11, Vol.13 (11), p.1114-1126</ispartof><rights>Elsevier Ltd</rights><rights>2014 Elsevier Ltd</rights><rights>Copyright © 2014 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Nov 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-beb79958fd0b125a7e45321dad8af495df035ac8ebd7c6a7029f9e7403b689873</citedby><cites>FETCH-LOGICAL-c500t-beb79958fd0b125a7e45321dad8af495df035ac8ebd7c6a7029f9e7403b689873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1614421767?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,782,786,3552,27931,27932,46002,64392,64394,64396,72476</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25316018$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ryvlin, Philippe, Prof</creatorcontrib><creatorcontrib>Cross, J Helen, Prof</creatorcontrib><creatorcontrib>Rheims, Sylvain, MD</creatorcontrib><title>Epilepsy surgery in children and adults</title><title>Lancet neurology</title><addtitle>Lancet Neurol</addtitle><description>Summary Epilepsy surgery is the most effective way to control seizures in patients with drug-resistant focal epilepsy, often leading to improvements in cognition, behaviour, and quality of life. Risks of serious adverse events and deterioration of clinical status can be minimised in carefully selected patients. Accordingly, guidelines recommend earlier and more systematic assessment of patients' eligibility for surgery than is seen at present. The effectiveness of surgical treatment depends on epilepsy type, underlying pathology, and accurate localisation of the epileptogenic brain region by various clinical, neuroimaging, and neurophysiological investigations. Substantial progress has been made in the methods of presurgical assessment, particularly in patients with normal features on MRI, but evidence is scarce for the indication and effect of most presurgical investigations, with no biomarker precisely delineating the epileptogenic zone. A priority for the development of epilepsy surgery is the generation of high-level evidence to promote the harmonisation and dissemination of best practices.</description><subject>Adult</subject><subject>Child</subject><subject>Drug resistance</subject><subject>Electroencephalography - methods</subject><subject>Electroencephalography - trends</subject><subject>Epilepsy</subject><subject>Epilepsy - diagnosis</subject><subject>Epilepsy - physiopathology</subject><subject>Epilepsy - surgery</subject><subject>Humans</subject><subject>Neurology</subject><subject>Neurosurgical Procedures - methods</subject><subject>Neurosurgical Procedures - trends</subject><subject>Quality of life</subject><subject>Studies</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>1474-4422</issn><issn>1474-4465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkE1LxDAQhoMofv8EpeDB9VDNpPloL4osfsGCB_Uc0mSq0W67Jlth_72tuyp48TRheOaZzEvIAdBToCDPHoArnnLO2Aj4iaIgZCrWyPaqLcX6z5uxLbIT4yulDHgOm2SLiQwkhXybHF_NfI2zuEhiF54xLBLfJPbF1y5gk5jGJcZ19TzukY3K1BH3V3WXPF1fPY5v08n9zd34cpJaQek8LbFURSHyytESmDAKucgYOONyU_FCuIpmwtgcS6esNIqyoipQcZqVMi9yle2S0dI7C-17h3Gupz5arGvTYNtFDTLjTDEpsx49-oO-tl1o-t_1FPRng5KDUCwpG9oYA1Z6FvzUhIUGqock9VeSeohJA9dfSWrRzx2u7F05Rfcz9R1dD1wsAezj-PAYdLQeG4vOB7Rz7Vr_74rzPwZb-8ZbU7_hAuPvNToyTZeSwdHXwSCyT6zNlQk</recordid><startdate>20141101</startdate><enddate>20141101</enddate><creator>Ryvlin, Philippe, Prof</creator><creator>Cross, J Helen, Prof</creator><creator>Rheims, Sylvain, MD</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C2</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20141101</creationdate><title>Epilepsy surgery in children and adults</title><author>Ryvlin, Philippe, Prof ; Cross, J Helen, Prof ; Rheims, Sylvain, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-beb79958fd0b125a7e45321dad8af495df035ac8ebd7c6a7029f9e7403b689873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Child</topic><topic>Drug resistance</topic><topic>Electroencephalography - methods</topic><topic>Electroencephalography - trends</topic><topic>Epilepsy</topic><topic>Epilepsy - diagnosis</topic><topic>Epilepsy - physiopathology</topic><topic>Epilepsy - surgery</topic><topic>Humans</topic><topic>Neurology</topic><topic>Neurosurgical Procedures - methods</topic><topic>Neurosurgical Procedures - trends</topic><topic>Quality of life</topic><topic>Studies</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ryvlin, Philippe, Prof</creatorcontrib><creatorcontrib>Cross, J Helen, Prof</creatorcontrib><creatorcontrib>Rheims, Sylvain, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Lancet Titles</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Lancet neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ryvlin, Philippe, Prof</au><au>Cross, J Helen, Prof</au><au>Rheims, Sylvain, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epilepsy surgery in children and adults</atitle><jtitle>Lancet neurology</jtitle><addtitle>Lancet Neurol</addtitle><date>2014-11-01</date><risdate>2014</risdate><volume>13</volume><issue>11</issue><spage>1114</spage><epage>1126</epage><pages>1114-1126</pages><issn>1474-4422</issn><eissn>1474-4465</eissn><coden>LANCAO</coden><abstract>Summary Epilepsy surgery is the most effective way to control seizures in patients with drug-resistant focal epilepsy, often leading to improvements in cognition, behaviour, and quality of life. Risks of serious adverse events and deterioration of clinical status can be minimised in carefully selected patients. Accordingly, guidelines recommend earlier and more systematic assessment of patients' eligibility for surgery than is seen at present. The effectiveness of surgical treatment depends on epilepsy type, underlying pathology, and accurate localisation of the epileptogenic brain region by various clinical, neuroimaging, and neurophysiological investigations. Substantial progress has been made in the methods of presurgical assessment, particularly in patients with normal features on MRI, but evidence is scarce for the indication and effect of most presurgical investigations, with no biomarker precisely delineating the epileptogenic zone. A priority for the development of epilepsy surgery is the generation of high-level evidence to promote the harmonisation and dissemination of best practices.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>25316018</pmid><doi>10.1016/S1474-4422(14)70156-5</doi><tpages>13</tpages></addata></record> |
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| subjects | Adult Child Drug resistance Electroencephalography - methods Electroencephalography - trends Epilepsy Epilepsy - diagnosis Epilepsy - physiopathology Epilepsy - surgery Humans Neurology Neurosurgical Procedures - methods Neurosurgical Procedures - trends Quality of life Studies Surgery Treatment Outcome |
| title | Epilepsy surgery in children and adults |
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