Resumo

MEJIA-TUPA, Marco Antonio et al. Epilepsy surgery in Guillermo Almenara Hospital: First seven cases. Acta méd. peruana [online]. 2014, vol.31, n.4, pp.199-212. ISSN 1728-5917.

Epilepsy has 1 % prevalence, until one third are refractory to pharmacological treatment, so it produces disability, morbidity and mortality. These patients requires multidisciplinary diagnostic approach to localize the origin and ideally resect it. In Almenara Hospital, seven patients has been studied clinically, neuropsychologically, brain imaging: structure magnetic resonance and functional with positron emission tomography and single photon emission computed tomography and video electroencephalography non invasive initially and electrocorticography. After the study we decided and performed respective surgery. In 71 % of patients we have got complete suppression of seizures and in the remain 29 %, more than 75 % in seizure frequency. The side effects were mild and possible to treat. The multidisciplinary approach and surgical treatment of refractory epilepsy in the Almenara Hospital is highly efficient and it is needed to install an Specialized Unit.

Palavras-chave : epilepsy; medical resistant; surgery; treatment; outcomes; neuropsychology; hemispherectomy; lobectomy; positron emission tomography; video electroencephalography.

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