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Case Reports
. 2005 Apr 26;172(9):1175-7.
doi: 10.1503/cmaj.045118.

When should surgery be considered for the treatment of epilepsy?

Jorge G Burneo  1 , Richard S McLachlan
Affiliations
Case Reports

When should surgery be considered for the treatment of epilepsy?

Jorge G Burneo et al. CMAJ. .
No abstract available

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Figures

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Fig. 2: Three-dimensional view of patient's brain. Areas of activation (Broca's area and Wernicke's area, arrows) for language are seen during mapping using functional MRI.
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Fig. 1: Top: Coronal section of MRI of the brain on FLAIR (fluid-attenuated inversion recovery) sequence, showing high signal changes in the right hippocampus (arrow). Bottom: Coronal section of the same MRI on IR (inversion recovery) sequence, showing evidence of atrophy of the right hippocampus (arrow). The combination of these findings is diagnostic of mesial temporal sclerosis.
Box 1
Box 1
See this image and copyright information in PMC

References

    1. Tellez-Zenteno JF, Pondal-Sordo M, Matijevic S, Wiebe S. National and regional prevalence of self-reported epilepsy in Canada. Epilepsia 2004;45(12):1623-9. - PubMed
    1. Kwan P, Brodie MJ. Early identification of refractory epilepsy. N Engl J Med 2000;342(5):314-9. - PubMed
    1. McLachlan RS. Commentary on epilepsy surgery in Canada. Can J Neurol Sci 2001;28(1):4-5. - PubMed
    1. Wiebe S, Blume WT, Girvin JP, Eliasziw M; Effectiveness and Efficiency of Surgery for Temporal Lobe Epilepsy Study Group. A randomized, controlled trial of surgery for temporal-lobe epilepsy. N Engl J Med 2001;345(5):311-8. - PubMed
    1. Trevathan E, Gilliam F. Lost years: delayed referral for surgically treatable epilepsy. Neurology 2003;61(4): 432-3. - PubMed

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