scholarly journals Prediction of neuropsychological outcome after resection of temporal and extratemporal seizure foci

2012 ◽  
Vol 32 (3) ◽  
pp. E4 ◽  
Author(s):  
Mario F. Dulay ◽  
Robyn M. Busch

Resection of seizure foci is an effective treatment for the control of medically intractable epilepsy. However, cognitive morbidity can occur as a result of surgical intervention. This morbidity is dependent on several factors, including location and extent of resection, disease characteristics, patient demographic characteristics, and functional status of the tissue to be resected. In this review article, the authors provide a summary of the neurocognitive outcomes of epilepsy surgery with an emphasis on presurgical predictors of postsurgical cognitive decline.

2012 ◽  
Vol 2012 ◽  
pp. 1-13 ◽  
Author(s):  
Faisal Al-Otaibi ◽  
Saleh S. Baeesa ◽  
Andrew G. Parrent ◽  
John P. Girvin ◽  
David Steven

Temporal lobe epilepsy (TLE) is the most common form of medically intractable epilepsy. Advances in electrophysiology and neuroimaging have led to a more precise localization of the epileptogenic zone within the temporal lobe. Resective surgery is the most effective treatment for TLE. Despite the variability in surgical techniques and in the extent of resection, the overall outcomes of different TLE surgeries are similar. Here, we review different surgical interventions for the management of TLE.


2001 ◽  
Vol 2 (2) ◽  
pp. 140-151 ◽  
Author(s):  
Francis J.X. Graydon ◽  
Julia A. Nunn ◽  
Charles E. Polkey ◽  
Robin G. Morris

Author(s):  
M. Yashar S. Kalani ◽  
Michael R. Levitt ◽  
Celene B. Mulholland ◽  
Charles Teo ◽  
Peter Nakaji

Diseases of ephaptic transmission are commonly caused by vascular compression of cranial nerves. The advent of microvascular decompression has allowed for surgical intervention for this patient population. This chapter highlights the technique of endoscopic-assisted microvascular decompression for trigeminal neuralgia and hemifacial spasm. Endoscopy and keyhole techniques have resulted in a minimally invasive and effective treatment of symptoms for patients with neuralgia.


2011 ◽  
Vol 28 (3) ◽  
pp. 401-408
Author(s):  
Eri Takeshita ◽  
Eiji Nakagawa ◽  
Asako Arai ◽  
Yoshiaki Saito ◽  
Hirofumi Komaki ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Jeannette Overbeck ◽  
Frank-Michael Schweers

A 61-year-old woman survived resuscitation after out-of-hospital cardiac arrest. The heterogeneity of the resulting cognitive impairments and the recovery over a one-year period are presented, highlighting the need for standardized neuropsychological testing even after short cardiac arrests and for effective treatment both out of hospital and in hospital.


2020 ◽  
Vol 8 (7) ◽  
pp. 3919-3924
Author(s):  
Divya Badwal ◽  
Ruby Rani Agarwal ◽  
Shashikant Tiwari ◽  
Shobhit Kumar

In the Ayurvedic classics, Kasa is considered as an independent disease. It may also occur as Lakshana (symptom) or Upadarava (complication) in other diseases. It is an example of Pranavaha Srotas Dushti. According to Acharya Charaka, the Moola of Pranavaha Srotas are Hridya (Brain, Heart) and Mahasro-tas. Acharyas have described definition, etiological factors, prodromal symptoms, symptoms, types of Kasa along with all Pathya (wholesome) & Apathya (unwholesome) and therapeutic measures. Kasa is manifested with the vitiation of Vata & Kapha. Understanding and differentiating Kasa is important for its effective treatment. The study of Kasa is necessary as it can be associated with many complications if left untreated. In this context different Lakshanas (symptoms) of Doshaja Kasa explained by Acharyas can be used for diagnosis as well as prognosis of the disease. Thus, with help of this study alternate safe methods of treatment can be employed. So, its identification as Doshaja Kasa can be a ray of hope for the diagno-sis.


2021 ◽  
Author(s):  
damla bektaşoğlu ◽  
Semih Çakmak ◽  
Ahmet Kırgız ◽  
Nilay Kandemir Beşek ◽  
Burçin Kepez Yıldız ◽  
...  

Abstract Purpose: This study aimed to evaluate the anterior segment surgeries performed in the coronavirus (COVID-19) lockdown period when prevention is at the forefront, in terms of etiology, referral region, demographic characteristics, and surgeries performed.Methods: A total of 144 cases who underwent anterior segment surgeries between 19 March 2020 and1 June 2020 were retrospectively reviewed from archive files. The demographic data and ophthalmological examinations of the patients, the region they were referred from, and the surgeries performed were noted.Results: A total of 144 patients, 49 women (34%) and 95 men (66%), were included in this study. The mean age of the patients was 31.30±25.88 (1-86) years. The presenting complaint was in the right eye in 43.7% of the cases, in the left eye in 52.8%, and in both eyes in 3.5% of the cases. While 94.4% of all cases applied from Istanbul, the remaining 5.6% applied from outside the province. Whereas 43.7% of the cases consisted of patients we had followed up previously, 56.3% presented to our hospital for the first time. Our hospital was the first referenced center in only 39.6% of the cases. When evaluated in terms of etiology, corneal perforation (18.1%) was the most common, followed by keratitis (13.2%). The most common surgical intervention was amnion membrane transplantation (19.4%), followed by perforation repair (16.7%).Conclusion: Ophthalmologic surgeries are continuing during the ongoing COVID-19 intervention process. Special algorithms are required to reduce the risk of transmission in terms of COVID-19 and to ensure continuity of health care for ophthalmology patients.


2021 ◽  
Vol 9 (02) ◽  
pp. 917-921
Author(s):  
Jaouad Yousfi ◽  
◽  
Amal Elouakhoumi ◽  
Mouna Zahlane ◽  
Lamiaa Essaadouni ◽  
...  

Purpose :To evaluate demographic characteristics, clinical features, systemic disease associations, visual outcomes, and treatment modalities of patients with episcleritis and scleritis in an internal medicine departement Methods :Data from 17 patients with episcleritis and from 23 patients with scleritis followed from 2010 to 2019 were retrospectively evaluated. The main outcome measures were demographics, ocular disease characteristics, presence of systemic associated disease, and treatment regimen. Results :Episcleritis and scleritis were found bilaterally in 62.5 % patients.The episcleritis was diffuse in 11 and focal in 06 patients, while the scleritis was diffuse in 5, nodular in 10, necrotizing in 1, and posterior in 7 patients. An associated systemic disease was found in 27.5%. Conclusion :The importance of differentiating scleritis from episcleritis is remarkable given the significant difference in the degree of ocular complications and associated systemic diseases between these ocular conditions.


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