Assuntos
Anticonvulsivantes/uso terapêutico , Epilepsia/tratamento farmacológico , Fidelidade a Diretrizes/normas , Qualidade da Assistência à Saúde/normas , Estudos Transversais , Epilepsia/diagnóstico , Epilepsia/epidemiologia , Epilepsia/etiologia , Necessidades e Demandas de Serviços de Saúde/normas , Humanos , Neurologia/normas , Atenção Primária à Saúde/normas , Indicadores de Qualidade em Assistência à Saúde/normas , Recidiva , Encaminhamento e Consulta/normas , Estados UnidosRESUMO
This document was developed by the members of the Committee to Revise the Guidelines for Services, Personnel, and Facilities at Specialized Epilepsy Centers. After discussions with the general membership they were adopted by the Board of the National Association of Epilepsy Centers. The Guidelines will be reviewed and updated when considered necessary by the Board.
Assuntos
Epilepsia/diagnóstico , Epilepsia/terapia , Planejamento de Instituições de Saúde/organização & administração , Diretrizes para o Planejamento em Saúde , Hospitais Especializados/organização & administração , Equipe de Assistência ao Paciente/organização & administração , Comportamento Cooperativo , Arquitetura de Instituições de Saúde/métodos , Humanos , Comunicação Interdisciplinar , Estados UnidosRESUMO
Epilepsy is a condition that affects less than 2 percent of the population. In the past, people with recurring seizures often suffered their entire lives. Today, most seizure cases can be controlled with appropriate medication and follow-up. However, some patients require specialized care. This article reviews the current approach to diagnosing and treating epilepsy, which is based on the goals and standards set by the American Academy of Neurology.
Assuntos
Epilepsia/terapia , Convulsões/terapia , Comportamento Cooperativo , Epilepsia/classificação , Epilepsia/etiologia , Humanos , Comunicação Interdisciplinar , Minnesota , Equipe de Assistência ao Paciente , Encaminhamento e Consulta , Convulsões/classificação , Convulsões/etiologiaRESUMO
Patients who undergo left anterior temporal lobectomy (ATL) for intractable epilepsy are at risk of postoperative memory decline. This study attempts to identify the best predictors of memory after ATL using preoperative tests. Thirty-two consecutive patients who underwent left ATL with preoperative and postoperative neuropsychological testing were retrospectively identified. The following independent variables were analyzed by multiple regression: age of onset of seizures, age of temporal lobe damage, gender, MRI results, preoperative memory testing, and intracarotid amytal procedure (IAP) results. Neuropsychological measures of verbal and nonverbal memory served as dependent variables. Male gender (P<0.005), failing the IAP with both left and right hemispheres (P<0.001), and higher logical memory (LM) scores preoperatively (P<0.001) were associated with greater declines in LM after surgery. Our data demonstrate that the IAP predicts postoperative memory independent of other factors known to affect memory after left ATL.