Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Jun;42(6):2249-2260.
doi: 10.1007/s10072-021-05198-y. Epub 2021 Apr 2.

The surgical treatment of epilepsy

Alessandro Consales  1 , Sara Casciato  2 , Sofia Asioli  3 , Carmen Barba  4 , Massimo Caulo  5 , Gabriella Colicchio  6 , Massimo Cossu  7 , Luca de Palma  8 , Alessandra Morano  9 , Giampaolo Vatti  10 , Flavio Villani  11 , Nelia Zamponi  12 , Laura Tassi  7 , Giancarlo Di Gennaro  13 , Carlo Efisio Marras  8
Affiliations
Review

The surgical treatment of epilepsy

Alessandro Consales et al. Neurol Sci. 2021 Jun.

Abstract

In 2009, the Commission for Epilepsy Surgery of the Italian League Against Epilepsy (LICE) conducted an overview about the techniques used for the pre-surgical evaluation and the surgical treatment of epilepsies. The recognition that, in selected cases, surgery can be considered the first-line approach, suggested that the experience gained by the main Italian referral centers should be pooled in order to provide a handy source of reference. In light of the progress made over these past years, some parts of that first report have accordingly been updated. The present revision aims to harmonize the general principles regulating the patient selection and the pre-surgical work-up, as well as to expand the use of epilepsy surgery, that still represents an underutilized resource, regrettably. The objective of this contribution is drawing up a methodological framework within which to integrate the experiences of each group in this complex and dynamic sector of the neurosciences.

Keywords: Drug-resistant; Epilepsy surgery; Neuromodulation; Palliative surgery; Pre-surgical evaluation; Surgically remediable syndrome.

PubMed Disclaimer

References

    1. Guerrini R, Scerrati M, Rubboli G, Esposito V, Colicchio G, Cossu M, Marras CE, Tassi L, Tinuper P, Paola Canevini M, Quarato P, Giordano F, Granata T, Villani F, Giulioni M, Scarpa P, Barbieri V, Bottini G, Del Sole A, Vatti G, Spreafico R, Lo Russo G, Commission for Epilepsy Surgery of the Italian League Against Epilepsy (2013) Overview of presurgical assessment and surgical treatment of epilepsy from the Italian League Against Epilepsy. Epilepsia 54:35–48. https://doi.org/10.1111/epi.12308 - DOI - PubMed
    1. Engel J Jr (2019) Evolution of concepts in epilepsy surgery. Epileptic Disord 21:391–409. https://doi.org/10.1684/epd.2019.1091 - DOI - PubMed
    1. Cramer SW, McGovern RA, Wang SG, Chen CC, Park MC (2020) Resective epilepsy surgery: assessment of randomized controlled trials. Neurosurg Rev. https://doi.org/10.1007/s10143-020-01432-x
    1. Willems LM, Kondziela JM, Knake S, Schulz J, Neif B, Schade B, Gerlinger S, Neubauer BA, Brunst B, Schubert-Bast S, Fuchs S, Staab-Kupke H, Kniess T, Rosenow F, Strzelczyk A (2019) Counseling and social work for people with epilepsy in Germany: a cross-sectional multicenter study on demand, frequent content, patient satisfaction, and burden-of-disease. Epilepsy Behav 92:114–120. https://doi.org/10.1016/j.yebeh.2018.12.004 - DOI - PubMed
    1. Shorvon S, Tomson T (2011) Sudden unexpected death in epilepsy. Lancet 378:2028–2038. https://doi.org/10.1016/S0140-6736(11)60176-1 - DOI - PubMed