Abstract
Purpose of reviewTo review the current practices and evidence for the diagnostic accuracy and the benefits of presurgical evaluation.Recent findingsPreoperative evaluation of patients with drug-resistant focal epilepsies and subsequent epilepsy surgery leads to a significant proportion of seizure-free patients. Even those who are not completely seizure free postoperatively often experience improved quality of life with better social integration. Systematic reviews and meta-analysis on the diagnostic accuracy are available for Video-electroencephalographic (EEG) monitoring, magnetic resonance imaging (MRI), electric and magnetic source imaging, and functional MRI for lateralization of language and memory. There are currently no evidence-based international guidelines for presurgical evaluation and epilepsy surgery.SummaryPresurgical evaluation is a complex multidisciplinary and multiprofessional clinical pathway. We rely on limited consensus-based recommendations regarding the required staffing or methodological expertise in epilepsy centers.
Original language | English |
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Pages (from-to) | 141-151 |
Number of pages | 11 |
Journal | CURRENT OPINION IN NEUROLOGY |
Volume | 37 |
Issue number | 2 |
DOIs | |
Publication status | Published - Apr 2024 |
Keywords
- Epilepsy
- epilepsy monitoring video EEG
- Epilepsy surgery
- Presurgical evaluation