Anterior Temporal Lobectomy – how Safe is It?

Le résumé fourni par la source

The increasing call for epilepsy surgery is driven by an understanding that in certain cases it can halt the epileptic process and greatly reduce the associated risks that include: 1) disease risk (sudden unexplained death in epilepsy [SUDEP], injury, suicide, comorbidities), 2) iatrogenic risk (medication reactions, injury during medication change), and 3) compliance risk (poor medication compliance, ignoring seizure precautions, drug and alcohol use).Determining the point at which the risk/benefit balance for surgery actually tilts in favor of the patient is more complex than generally understood.Unfortunately, strong medical evidence is missing in most areas of epilepsy surgery (1).Even in situations where one is armed with efficacy and morbidity outcomes, it is useful to remember that the medical evidence mental construct for risk assessment is an idealized "statistical" patient, cared for by the medical team that performed the study; not necessarily a patient in your own hospital, cultural, and social setting.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.