Abstracts

Epidemiological studies estimate 1 million people in India with intractable epilepsy. However only 650 cases have been operated at 2 major centres. [italic]The non-availability of intra-operative ECoG and SPECT /VEEG has restricted epilepsy surgery programmes to big centres[/italic].
[italic]We wished to[/italic] see how many cases could have been operated [italic]at[/italic] [italic] [/italic]
The other reason for the underutilisation of the surgical option in developing countries is [italic]unawareness[/italic] leading to delayed referrals. [italic]We sought to compare and contrast surgical outcome for certain selected entities against [/italic] 155 cases of intractable epilepsy operated at our centre were included for analysis. Figure 1 below reveals the following:
99 of our 155 patients underwent AMTL without ECoG guidance.
[italic]Among these 99, SPECT/VEEG[/italic] was [italic]useful in only 9 with equivocal MRI findings[/italic] (5 with bilateral MTS and 4 with normal MRI[rsquo]s). [italic]All 90 patients with clear-cut MRI localization had nothing added by VEEG/SPECT.[/italic]

Table 1 below indicates that even though entities such as [italic]MTS/DNET[apos]s/gangliogliomas/occult vascular malformations[/italic] (constituting [italic]62%[/italic] of our cases) have [italic][/italic].[table1] The is to promote and creation of a . The [italic]first tier[/italic] equipped with EEG, MRI and trained superspecialists [italic]can undertake AMTL [/italic][italic]which is a large proportion of the epilepsy surgery burden[/italic]. This strategy is likely to help handle a larger volume of cases but would definitely require [italic]strict surveillance[/italic].
regarding epilepsy surgery can be boosted by