Outpatient based Video EEG Monitoring and Outcome A Step towards Epilepsy Surgery
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 4
Abstract
Introduction: The central role in the diagnosis of the epilepsy is played by electroencephalogram (EEG). Also, in India, there exists a large treatment gap as appropriate treatment for the condition is not received by the patients suffering from active epilepsy. The main reasons responsible for this includes poverty, lack of knowledge, social stigma and poor health infrastructure. In developing countries an enormous gap between the number of patients who could be benefited from epilepsy surgery and those who actually receive this treatment has been created by the lack of availability and affordability, which can only be minimized by developing more centres in the country, where epilepsy surgery can be undertaken. Hence; we undertook the present study to create a model for Epilepsy surgery programmse in small cities/ district places accessible to majority of medically refractory patients. Material and methods: The present study was carried out in the epilepsy centre. For predicting medically refractory epilepsy, a pre surgical evaluation was carried out on out-patient basis,saving cost and inconvenience of hospitalization for presurgical evaluation. It included Video EEG, MRI 1.5 or 3 Tesla, Neuropsychiatric assessment. If required, functional imaging – like PET scan,Syndromic classification and differentiation of True and Pseudo-seizures and epilepsy mimics were made-based on the on semiology, interictal and ictal EEG. MRI brain 3 T (if not imaged before) and neuropsychology assessment was done in medically refractory epileptic patients. Few patients were asked to undergo PET-CT scan-Brain. All the results were recorded and analyzed using SPSS software. Results: Surgically remedial Epilepsy was found in 24patients, out of which 9 patient successfully undergone Epilepsy surgery with Engel-1 outcome for the follow up ranging from few months to 1 year. All patients are free of minor as well as major seizures. No permanent disability or adverse effect was seen post surgically. Conclusion: Selection of candidates destined to have a seizurefree outcome using locally available limited technology and expertise is required for developing cost-effective, epilepsy surgery centres in India
Authors and Affiliations
Anand Diwan, Gouri Diwan, Ashok Pillai, Milind Vaidya, Mahendra Guta
Keywords
Related Articles
- EP ID EP429731
- DOI -
- Views 125
- Downloads 0
Role of Human Papilloma Virus in Oral Squamous Cell Carcinoma: Review Article
Oral cancer etiology is multifactorial and the main risk factors are tobacco chewing and smoking along with alcohol consumption. 10% to 20% of population do not have any habits and are still diagnosed with oral cancer. T...
Comparative Study to Evaluate Efficacy of Bipolar Electrosurgical Unit Versus Monopolar Electrosurgical Unit in Transurethral Resection of Prostate
Introduction: Transurethral resection of the prostate (TURP) is the gold standard in the management of benign prostatic hyperplasia. Electrocautery devices that have been used during TURP procedures have monopolar design...
Prevalence of Work Related Musculoskeletal Disorders (MSD) among Dentists
Introduction: In dentistry occupational hazards can consequence in damages such as inhalation of chemicals, percutaneous abuses and musculoskeletal disorders (MSD). The MSD are not very common among the dental profession...
A Study of Attitude and Practices Towards Water Safety amongst Troops during Move
Introduction: Water safety and subsequent water discipline is of paramount importance to troops of any army. Troops in India frequently suffer from water borne diseases because of the nature of their duty and the omnipre...
Medical Method of Second Trimester Abortion: Mifepristone Plus Misoprostol vs Misoprostol Alone
Introduction: Second trimester abortions constitute 10– 15% of all induced abortions worldwide but are responsible for two-thirds of all major abortion-related complications. Second trimester abortion can be done by surg...