Analysis of surgical strategies for children with epileptic spasms

2021 ◽  
Vol 23 (1) ◽  
pp. 85-93
Author(s):  
Yiou Liu ◽  
Wenjing Zhou ◽  
Bo Hong ◽  
Haixiang Wang ◽  
Jiuluan Lin ◽  
...  
Keyword(s):  
Surgical Strategies ◽  
Epileptic Spasms

Surgical Strategies in Craniovertebral Junction Lesions

2012 ◽  
Vol 73 (S 02) ◽  
Author(s):  
Y. Shulev ◽  
V. Stepanenko ◽  
A. Trashin
Keyword(s):  
Craniovertebral Junction ◽  
Surgical Strategies

FOCAL EPILEPTIC SPASMS INVOLVING ONE LEG EMERGING DURING THE CLINICAL COURSE OF WEST SYNDROME (WS)

2006 ◽  
Vol 37 (S 1) ◽  
Author(s):  
K Tanoue ◽  
H Oguni ◽  
N Nakayama ◽  
K Sasaki ◽  
Y Ito ◽  
...  
Keyword(s):  
Clinical Course ◽  
West Syndrome ◽  
Epileptic Spasms

Concordance between the interictal focal EEG pattern and MRI lesions as a predictor of a favorable surgical outcome in patients with epileptic spasms: a Chinese study

2019 ◽  
Vol 23 (4) ◽  
pp. 422-431 ◽  
Author(s):  
Cuiping Xu ◽  
Tao Yu ◽  
Guojun Zhang ◽  
Gary B. Rajah ◽  
Yuping Wang ◽  
...  
Keyword(s):  
Seizure Frequency ◽  
Surgical Outcome ◽  
Epileptic Spasms ◽  
Select Group ◽  
Chinese Study ◽  
Interictal Eeg ◽  
Atypical Absence ◽  
Multilobar Resection ◽  
Age Range ◽  
Eeg Pattern

OBJECTIVEThe aim of this study was to evaluate the electro-clinical features, etiology, treatment, and postsurgical seizure outcomes in patients with intractable epileptic spasms (ESs).METHODSThe authors retrospectively studied the medical records of all patients who had presented with medically intractable ESs and had undergone surgery in the period between October 2009 and August 2015. The interictal electroencephalography (EEG) pattern, MRI studies, magnetoencephalography findings, and postsurgical seizure outcomes were compared.RESULTSTwenty-six patients, 12 boys and 14 girls (age range 3–22 years), were eligible for study inclusion. Of these 26 patients, 84.6% (22) presented with multiple seizure types including partial seizures (PSs) independent of the ESs (30.8%); ESs followed by tonic seizures (30.8%); myoclonic seizures (19.2%); tonic seizures (19.2%); ESs followed by PSs (19.2%); focal seizures with secondary generalization (15.4%); atypical absence (11.5%); PSs followed by ESs (7.7%); and myoclonic followed by tonic seizures (7.7%). Seventeen patients underwent multilobar resection and 9 underwent unilobar resection. At the last follow-up (mean 36.6 months), 42.3% of patients were seizure free (outcome classification [OC] 1), 23.1% had > 50% reduction in seizure frequency (OC2–OC4), and 34.6% had < 50% reduction in seizure frequency or no improvement (OC5 and OC6). Predictors of favorable outcomes included an interictal focal EEG pattern and concordance between interictal EEG and MRI-demonstrated lesions (p = 0.001 and 0.004, respectively).CONCLUSIONSA favorable surgical outcome is achievable in a highly select group of patients with ESs secondary to structural lesions. Interictal EEG can help in identifying patients with the potential for favorable resective outcomes.

Implication of Medical Treatment for Surgical Strategies in IBD

2019 ◽  
Vol 20 (13) ◽  
pp. 1363-1368
Author(s):  
Krisztina B. Gecse ◽  
Christianne J. Buskens
Keyword(s):  
Nutritional Status ◽  
Medical Treatment ◽  
Significant Proportion ◽  
Timing Of Surgery ◽  
Multidisciplinary Management ◽  
Key Factors ◽  
Surgical Strategies ◽  
Immunosuppressive Medications ◽  
Medical Paradigm ◽  
The Impact

Despite changing medical paradigm, still a significant proportion of patients with IBD require surgery. The patient&#039;s general condition, including nutritional status and the use of immunosuppressive medications is of great importance with regard to surgical complications, as well as the choice of optimal surgical strategy. The indication and the timing of surgery are key factors for the multidisciplinary management of IBD patients. The purpose of this review is to provide an overview on the impact of medical treatment on surgical strategies in IBD.

Surgical Strategies for Fertility Preservation in Women with Cancer

2010 ◽  
Vol 6 (2) ◽  
pp. 167-176
Author(s):  
Mohamed A. Bedaiwy ◽  
Kristine Zanotti ◽  
Ahmed Y. Shahin ◽  
Mohamed Yahya Abdel Rahman ◽  
William W. Hurd
Keyword(s):  
Fertility Preservation ◽  
Surgical Strategies

Anatomic Features and Surgical Strategies in Double-Outlet Right Ventricle

Circulation ◽  
1997 ◽  
Vol 96 (4) ◽  
pp. 1233-1239 ◽  
Author(s):  
S. Kleinert ◽  
T. Sano ◽  
R.G. Weintraub ◽  
R.B.B. Mee ◽  
T.R. Karl ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Double Outlet Right Ventricle ◽  
Surgical Strategies
Sign in / Sign up

Export Citation Format

Share Document