Clinical diagnostic features and surgical outcomes of mesial temporal lobe epilepsy
https://doi.org/10.24884/0042-4625-2022-181-3-91-99
Abstract
Despite certain successes in the treatment of epilepsy, primarily associated with the active development of pharmacology, in 30% of cases, there is a resistant course, especially focal forms of temporal lobe epilepsy. Mesial temporal sclerosis (MTS) is one of the most common causes of drug-resistant epilepsy. Conservative treatment could help only in 90–92 % of cases. In other cases, surgical treatment is required for improving the quality of life of such patients. However, the percentage of surgical care for epilepsy remains low. Structured information on clinical signs, diagnostic techniques, approaches to surgical treatment and its outcomes should contribute to understanding the problem among specialists. Data on the effectiveness of operations in patients with drug-resistant epilepsy can help in timely hightechnology care for patients with mesial temporal lobe epilepsy.
About the Authors
O. P. Subbotina
Saint-Petersburg University
Russian Federation
Competing Interests:
Russian Federation
Subbotina Olga P., Assistant, Department of Neurosurgery and Neurology
7-9, University Embankment, Saint Petersburg, 199034
Competing Interests:
The authors declare no conflict of interest
L. M. Tibekina
Saint-Petersburg University
Russian Federation
Competing Interests:
Russian Federation
Tibekina Lyudmila M., Dr. of Sci. (Med.), Professor, Department of Neurosurgery and Neurology
Saint-Petersburg
Competing Interests:
The authors declare no conflict of interest
S. N. Tonyan
Saint-Petersburg University
Russian Federation
Competing Interests:
Russian Federation
Tonyan Samvel N., Resident, Department of Neurosurgery and Neurology
Saint-Petersburg
Competing Interests:
The authors declare no conflict of interest
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Subbotina O.P., Tibekina L.M., Tonyan S.N. Clinical diagnostic features and surgical outcomes of mesial temporal lobe epilepsy. Grekov's Bulletin of Surgery. 2022;181(3):91-99. (In Russ.) https://doi.org/10.24884/0042-4625-2022-181-3-91-99
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