Surgical treatment of epilepsy

Authors

  • Aziz Rassi Neto Professor-adjunto (Bolsista) da Disciplina de Neurocirurgia do Departamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina – Unifesp.
  • Ricardo Centeno Médico Pós-graduando da Disciplina de Neurocirurgia do Departamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina – Unifesp.
  • Andréa V. Amantéa Médica Pós-graduanda da Disciplina de Neurocirurgia do Departamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina – Unifesp.
  • Délrio F. da Silva Médico da Disciplina de Sono do Departamento de Psicobiologia da Escola Paulista de Medicina – Unifesp
  • Mauro Muszkat Médico do Setor de Neuropediatria da Disciplina de Neurologia do Departamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina – Unifesp.
  • Maristela Costa Médica do Setor de Neurofisiologia da Disciplina de Neurologia do Departamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina – Unifesp
  • Sueli Rizzutti Médica do Setor de Neuropediatria da Disciplina de Neurologia do Departamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina – Unifesp.
  • Ana Regina dos Santos Psicóloga Pós-graduanda do Setor de Investigação e Tratamento das Epilepsias da Disciplina de Neurologia do Departamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina – Unifesp
  • Regina S. Alves de Lima Assistente Social do Setor de Neuropediatria da Disciplina de Neurologia do Departamento de Neurologia e Neurocirurgia da Escola Paulista de Medicina – Unifesp.

DOI:

https://doi.org/10.34024/rnc.2001.v9.8915

Keywords:

Epilepsy, difficult-control epilepsy, epilepsy surgery

Abstract

Patients with difficult-control epilepsy may have the benefit of a surgery to remove the epileptiform cortical focus or to interrupt these foci. To perform the surgery, a careful investigation is needed in order that the patient may evolve without seizures, neurological deficits and that he/she could improve his/her quality of life. Victor Horsley (apud Taylor)1, in 1887, described the first surgery in a patient presenting partial motor seizures. He found a lesion in the motor area, which was later diagnosed as a tuberculoma and after surgery the seizures could be controlled. Removal of the cortical scars due to cranioencephalic trauma leading to epileptic seizures, was also mentioned by Foerster e Penfield2 in 1930, presenting successful results to control seizures, showing a clearly correlation between the irritative cortical area and epileptic seizures. However, only after the clinical description of the electroencephalography (EEG) by Berger, 1929 (apud Engel)3 that it was possible to correlate neurophysiological alterations observed by electroencephalographic traits with cerebral lesions. This test much contributed to the study of epileptic patients, showing the location of the focal paroxysmal discharges which is essential in patients with a difficult-control epilepsy, since many times we are not able to find evident cerebral structural lesions in neuroimage investigation.

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Published

2001-09-30

How to Cite

Neto, A. R., Centeno, R., Amantéa, A. V., Silva, D. F. da, Muszkat, M., Costa, M., … Lima, R. S. A. de. (2001). Surgical treatment of epilepsy. Revista Neurociências, 9(3), 118–126. https://doi.org/10.34024/rnc.2001.v9.8915

Issue

Vol. 9 No. 3 (2001)

Section

Artigos Originais

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