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Textbook of Epilepsy Surgery covers all of the latest advances in the surgical management of epilepsy. The book provides a better understanding of epileptogenic mechanisms in etiologically different types of epilepsy and explains neuronavigation systems. It discusses new neuroimaging techniques, new surgical strategies, and more aggressive surgical approaches in cases with catastrophic epilepsies. The contributors also analyze the improved statistics of surgical outcome in different epilepsy types. This definitive textbook is an invaluable reference for neurologists, neurosurgeons, epilepsy specialists, and those interested in epilepsy and its surgical treatment.
The thoroughly revised and updated Second Edition of this landmark work is the most comprehensive and current reference on the surgical treatment of the epilepsies. More than 100 invited experts from around the world present a global view of contemporary approaches to presurgical evaluation, surgical treatment, and postsurgical assessment. This edition provides detailed information on the vital role of structural and functional neuroimaging in presurgical evaluation and surgical planning. Noted experts offer up-to-date patient selection guidelines and explain current concepts of intractability. The book details the most effective surgical techniques, presents extensive data on surgical outcome, and discusses strategies for preventing and managing complications. More than 500 illustrations complement the text. An appendix section includes protocols and outcome statistics from over 50 leading epilepsy surgery centers.
An indispensable, single-volume resource on state-of-the-art epilepsy procedures from renowned international experts! Epilepsy is a common neurological disorder affecting an estimated 1% of the population, about 20 to 30% of which experience seizures inadequately controlled by medical therapy alone. Advances in anatomic and functional imaging modalities, stereotaxy, and the integration of neuronavigation during surgery have led to cutting-edge treatment options for patients with medically refractory epilepsy. Operative Techniques in Epilepsy Surgery, Second Edition by Gordon Baltuch, Arthur Cukiert, and an impressive international group of contributors has been updated and expanded, reflecting the newest treatments for pediatric and adult epilepsy. Seven sections with 30 chapters encompass surgical planning, invasive EEG studies, cortical resection, intraoperative mapping, disconnection, neuromodulation, and further topics. Twelve cortical resection chapters cover surgical approaches such as amygdalohippocampectomy; hippocampal transection; frontal lobe, central region, and posterior quadrant resections; and microsurgery versus endoscopy for hypothalamic hamartomas. Disconnection procedures discussed in section five include corpus callosotomy, hemispherectomy, and endoscopic-assisted approaches. Well-established procedures such as vagus nerve and deep brain stimulation are covered in the neuromodulation section, while the last section discusses radiosurgery for medically intractable cases. Key Highlights Chapters new to this edition include endoscopic callosotomy, laser-induced thermal therapy (LITT), and focused ultrasound High-quality illustrations, superb operative and cadaver photographs, radiologic images, and tables enhance understanding of impacted anatomy and specific techniques The addition of videos provides insightful step-by-step procedural guidance This is an essential reference for fellows and residents interested in epilepsy and functional neurosurgery, and an ideal overview for neurosurgeons, neurologists, and neuroradiologists in early career stages who wish to pursue this subspecialty.
All about diagnostic and prognostic tools available as well as epilepsy surgery. Patients with refractory extratemporal lobe epilepsy, particularly those in whom imaging examinations did not reveal any brain lesions, have a less positive prognosis after surgery than those with mesial temporal lobe epilepsy. The semiology of seizures, the functional imaging techniques, neuropsychological evaluation and intracranial EEG are used to select surgical patients. Moreover, a large number of centres have experimented with new methods for identifying the epileptogenic area in these patients. Written by international experts who attended the Cleveland colloquium, it will be all the more useful to neurologists, neurosurgeons and epileptologists as no other work until now has focused on this subject. Contents : Section I - Semiology of extratemporal lobe epilepsy Section II - Non-inasive neurophysiology of extratemporal lobe epilepsies Section III - Neuroimaging of extratemporal lobe epilepsies Section IV - Invasive evaluation of extratemporal lobe epilepsies Section V - Surgery and outcome of extratemporal lobe epilepsies
Techniques in Epilepsy Surgery presents the operative procedures used in the treatment of intractable epilepsy in a practical, clinically relevant manner. Founded by pioneering neurosurgeon Wilder Penfield, the Montreal Neurological Institute (MNI) is a leading global centre of epilepsy surgery and this volume reflects the Institute's approach, combining traditional techniques with modern neuronavigation-based approaches. There is an emphasis on mastering the important trilogy of topographic, vascular and functional anatomy of the brain. The basic anatomical and physiological mechanisms underlying epilepsy are presented in a practical manner, along with the clinical seizure evaluation that leads to a surgical hypothesis. The consultation skills and investigations necessary for appropriate patient selection are discussed, as well as pitfalls and the avoidance of complications. This is an invaluable resource not only for neurosurgeons, neurosurgical residents and fellows in epilepsy surgery, but also for neurologists, and others who provide medical care for patients with intractable epilepsy.
This book consists of the proceedings of a concensus conference on surgery in epilepsy and includes discussions of patient selection, evaluation, surgical techniques, and assessment of outcome. The conclusions of the concensus panel are presented. The volume is excellent in its concise presentations of the current state of knowledge, in-depth discussions of methodological issues, and clear conclusions of the concensus panel.
Written by internationally recognized authorities in pediatric epilepsy surgery, this cutting-edge book provides essential information about the preoperative assessment of and surgical approaches to the treatment of epilepsy in children. The book opens with an overview of pediatric epilepsy followed by four main sections detailing preoperative assessment, surgical approaches and techniques, outcomes, and recent promising advances. The authors present numerous approaches for managing temporal lobe epilepsy and extratemporal lobe epilepsy and guide clinicians through various surgical techniques for hemispherectomy, disconnection procedures, neuromodulation, and more.Highlights: Complete coverage of the selection of surgical candidates, including young patients with congenital or early lesions Detailed discussion of the latest surgical techniques such as hippocampal transection, cortical and deep brain stimulation and radiosurgery Comprehensive presentation of all major hemispherectomy and hemispherotomy techniques More than 100 illustrations, including 85 in full-color, to elucidate key concepts Ideal for pediatric neurosurgeons, epilepsy surgeons and pediatric epileptologists, this authoritative text is also a valuable reference for clinicians, residents, and fellows in neurology, neuroradiology, neuropsychology, and neurophysiology with an interest in pediatric epilepsy surgery.
Classification of epilepsy disorders -- Epilepsy syndromes -- Diagnostic tests in epilepsy -- Medical treatment of epilepsy -- Neuropsychological assessment in epilepsy -- Psychological and psychiatric disorders in epilepsy -- Psychogenic nonepileptic seizures -- Neuropsychological assessment in epilepsy surgery -- Other neuropsychological procedures in epilepsy surgery -- Medical aspects of epilepsy surgery.
Designed to provide a comprehensive but accessible introduction to epilepsy and seizure disorders, Epilepsy, 2nd edition provides state-of-the-art information in a concise format useful to a wide audience, from neurology residents to epilepsy fellows and practitioners. This illustrated guide to the assessment, diagnosis, and treatment of epilepsy is a valuable resource enabling clinicians to stay on top of the latest recommendations for best practice.
Although epilepsy is one of the nation's most common neurological disorders, public understanding of it is limited. Many people do not know the causes of epilepsy or what they should do if they see someone having a seizure. Epilepsy is a complex spectrum of disorders that affects an estimated 2.2 million Americans in a variety of ways, and is characterized by unpredictable seizures that differ in type, cause, and severity. Yet living with epilepsy is about much more than just seizures; the disorder is often defined in practical terms, such as challenges in school, uncertainties about social situations and employment, limitations on driving, and questions about independent living. The Institute of Medicine was asked to examine the public health dimensions of the epilepsies, focusing on public health surveillance and data collection; population and public health research; health policy, health care, and human services; and education for people with the disorder and their families, health care providers, and the public. In Epilepsy Across the Spectrum, the IOM makes recommendations ranging from the expansion of collaborative epilepsy surveillance efforts, to the coordination of public awareness efforts, to the engagement of people with epilepsy and their families in education, dissemination, and advocacy for improved care and services. Taking action across multiple dimensions will improve the lives of people with epilepsy and their families. The realistic, feasible, and action-oriented recommendations in this report can help enable short- and long-term improvements for people with epilepsy. For all epilepsy organizations and advocates, local, state, and federal agencies, researchers, health care professionals, people with epilepsy, as well as the public, Epilepsy Across the Spectrum is an essential resource.