Selection of ideal candidates for epilepsy surgery in developing countries.

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dc.contributor.authorCherian, P Jen_US
dc.contributor.authorRadhakrishnan, Ken_US
dc.date.accessioned2002-03-18en_US
dc.date.accessioned2009-06-03T11:35:13Z
dc.date.available2002-03-18en_US
dc.date.available2009-06-03T11:35:13Z
dc.date.issued2002-03-18en_US
dc.description32 references.en_US
dc.description.abstractIn order to become cost-effective, epilepsy surgery centers in developing countries will have to achieve excellent results by selecting candidates destined to have a seizure-free outcome using locally available limited technology and expertise, without compromising on patient safety. Our experience illustrates that this goal can be accomplished by selecting patients, whose epileptogenic zone can be unquestionably established, based on history, magnetic resonance imaging, and interictal and ictal scalp electroencephalogram findings. Patients with mesial temporal lobe epilepsy, and those with circumscribed potentially epileptogenic lesions belong to this category. A stepwise approach by reserving more difficult to treat patients to later date as experience develops, or by referring them to a better-equipped center, will help each center to understand its capabilities and limitations and to move forward. It would be essential to work with and educate the local public and professionals, if the epilepsy surgery program in a developing region were to have a lasting impact, It is encouraging to note that, despite major challenges, in the last one-decade, several epilepsy centers in the developing world have not only successfully implemented epilepsy surgery programs, but also have produced results comparable to that from developed countries at a fractional cost.en_US
dc.description.affiliationR. Madhavan Nayar Centre for Comprehensive Epilepsy Care, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, Kerala, 695 011, India.en_US
dc.identifier.citationCherian PJ, Radhakrishnan K. Selection of ideal candidates for epilepsy surgery in developing countries. Neurology India. 2002 Mar; 50(1): 11-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/120987
dc.language.isoengen_US
dc.source.urihttps://neurologyindia.comen_US
dc.subject.meshDeveloping Countriesen_US
dc.subject.meshEpilepsy --surgeryen_US
dc.subject.meshHumansen_US
dc.subject.meshPatient Selectionen_US
dc.titleSelection of ideal candidates for epilepsy surgery in developing countries.en_US
dc.typeJournal Articleen_US
dc.typeReviewen_US
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