{"id":1330,"date":"2023-09-26T15:01:44","date_gmt":"2023-09-26T18:01:44","guid":{"rendered":"https:\/\/csan2023.saneurociencias.org.ar\/index.php\/2023\/09\/26\/207-multidimensional-evaluation-of-surgery-for-epilepsy-longitudinal-study-in-a-public-hospital\/"},"modified":"2023-09-26T20:42:05","modified_gmt":"2023-09-26T23:42:05","slug":"207-multidimensional-evaluation-of-surgery-for-epilepsy-longitudinal-study-in-a-public-hospital","status":"publish","type":"post","link":"https:\/\/csan2023.saneurociencias.org.ar\/index.php\/2023\/09\/26\/207-multidimensional-evaluation-of-surgery-for-epilepsy-longitudinal-study-in-a-public-hospital\/","title":{"rendered":"207 | Multidimensional Evaluation of Surgery for Epilepsy: Longitudinal Study in a Public Hospital"},"content":{"rendered":"<p>Disorders of the Nervous System<\/p>\n<p><strong>Author:<\/strong> Manuela Maria Villanueva | <strong>Email:<\/strong> manuelamaria.villanueva@gmail.com<\/p>\n<hr \/>\n<p>Manuela Villanueva <sup>1\u00b0<\/sup>, Florencia Andrieu <sup>1\u00b0<\/sup>, Yankowyez Fernanda <sup>1\u00b0<\/sup>, Silvia Oddo <sup>1\u00b0<\/sup>, Nuria Campora <sup>1\u00b0<\/sup>, Exequiel Verder <sup>1\u00b0<\/sup>, Pablo Seoane <sup>1\u00b0<\/sup>, Juan Pablo Princich <sup>1\u00b0<\/sup>, Brenda Giagante <sup>1\u00b0<\/sup>, Silvia Kochen <sup>1\u00b0<\/sup><\/p>\n<p>1\u00b0 ENyS<\/p>\n<p>In the cohort of 111 evaluated patients, the current mean age was 38 years (SD: 10), with 53% being female. The mean age at the time of surgery was 33 years (SD: 10), with a median of 10 seizures per month (mean of 21 with SD of 28). The average duration of epilepsy was 21 years (SD: 12), and the average age of onset was 13 years (SD: 9). Patients had an average of 3 previous antiepileptic medications before surgery (SD: 1). Perinatal antecedents were observed in 5%, while febrile seizures affected 21%, meningitis 9%, and family history of epilepsy or febrile seizures 6%.<br \/>\nRegarding the types of surgery, 80% corresponded to anterior temporal lobectomies + amygdalohippocampectomy (ATL + AH), 5% to ATL + AH + extratemporal surgery, and 14% to extratemporal procedures. Left lateralization was present in 59% of patients. Magnetic resonance imaging (MRI) was performed in all patients, with 93% of cases showing lesions. Additionally, 100% of patients underwent Video-EEG, 17% underwent positron emission tomography (PET) (of which 14% were pathological), 23% underwent Stereoelectroencephalography (SEEG), and 8% underwent functional MRI. Pathological anatomies revealed that 68% corresponded to hippocampal sclerosis (HS), 16% to Focal Cortical Dysplasia (FCD) (ILAE type 1 or 2), 5% to cavernomas, 3% to gliomas, 1% to Dysembryoplastic Neuroepithelial Tumor (DNET), and 6% to uncharacteristic findings. The analysis was conducted at an average of 4.29 years post-surgery.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Author: Villanueva Manuela Maria | email: manuelamaria.villanueva@gmail.com | Disorders of the Nervous System<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[22],"class_list":["post-1330","post","type-post","status-publish","format-standard","hentry","category-session-1","tag-disorders-of-the-nervous-system"],"_links":{"self":[{"href":"https:\/\/csan2023.saneurociencias.org.ar\/index.php\/wp-json\/wp\/v2\/posts\/1330","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/csan2023.saneurociencias.org.ar\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csan2023.saneurociencias.org.ar\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csan2023.saneurociencias.org.ar\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/csan2023.saneurociencias.org.ar\/index.php\/wp-json\/wp\/v2\/comments?post=1330"}],"version-history":[{"count":3,"href":"https:\/\/csan2023.saneurociencias.org.ar\/index.php\/wp-json\/wp\/v2\/posts\/1330\/revisions"}],"predecessor-version":[{"id":1818,"href":"https:\/\/csan2023.saneurociencias.org.ar\/index.php\/wp-json\/wp\/v2\/posts\/1330\/revisions\/1818"}],"wp:attachment":[{"href":"https:\/\/csan2023.saneurociencias.org.ar\/index.php\/wp-json\/wp\/v2\/media?parent=1330"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csan2023.saneurociencias.org.ar\/index.php\/wp-json\/wp\/v2\/categories?post=1330"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csan2023.saneurociencias.org.ar\/index.php\/wp-json\/wp\/v2\/tags?post=1330"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}