RESUMEN
BACKGROUND: The focused attention training has been used in pre surgery patients because of the benefits of its use decrease of psychological symptoms like anxiety, eases the post operatory period and recovery. Also, there are favorable changes in a psychological level as well as pain healing. OBJECTIVE: Show that the focused attention training is effective in patients who are candidates to a craniotomy. METHOD: The study includes 11 participants in an age of 29 to 60 age from the Hospital de Especialidades del Centro Médico Nacional Siglo XXI, from May to September 2021. The Hospital Anxiety and Depression Scale (HADS) was applied pre, post and follow-up, to search anxiety symptoms and the focused attention training was used in the 11 patients. RESULTS: The data was analyzed and checked with the Friedman test, for not parametric data and to identify differences in anxiety levels. It was observed that there are differences (p < 0.05) in both anxiety and depression. CONCLUSIONS: Anxiety decreased significantly before and after the focused attention training, the follow-up was kept the same way for 40 days; which means the training helped the patient to decrease anxiety.
ANTECEDENTES: El entrenamiento de atención focalizada se ha utilizado en pacientes prequirúrgicos por los beneficios que conlleva: disminuye los síntomas psicológicos como ansiedad, facilita el periodo posoperatorio y la recuperación, cambios favorables a nivel fisiológico y reducción del dolor, entre otros. OBJETIVO: Demostrar la eficacia del entrenamiento de atención focalizada en pacientes candidatos a craneotomía. MÉTODO: El estudio incluyó 11 participantes de entre 29 y 60 años de edad del Hospital de Especialidades del Centro Médico Nacional Siglo XXI, de mayo a septiembre de 2021. Se aplicó la Hospital Anxiety and Depression Scale (HADS) antes, después de la intervención y a los 40 días para investigar síntomas de ansiedad, y se utilizó el entrenamiento de atención focalizada en los 11 participantes. RESULTADOS: Se analizaron los datos con la prueba de Friedman para datos no paramétricos con el fin de identificar diferencias en los niveles de ansiedad. Se observó que sí hay diferencias (p < 0.05) tanto en ansiedad como en depresión. CONCLUSIONES: La ansiedad disminuyó significativamente entre las mediciones antes y después de la intervención. La medición posterior continuó de la misma manera durante los 40 días, lo que significa que el entrenamiento ayudó al paciente a disminuir la ansiedad.
RESUMEN
BACKGROUND: Focal cortical dysplasias (FCD) represent highly intrinsically epileptogenic lesions that require complete resection for seizure control. Resection of pure motor strip FCD can be challenging. Effective control of postoperative seizures is crucial and extending the boundaries of resection in an eloquent zone remains controversial. OBSERVATIONS: The authors report a 52-year-old right-handed male with refractory epilepsy. The seizure phenotype was a focal crisis with preserved awareness and a clonic motor onset of right-hemibody. Epilepsy surgery protocol demonstrated a left pure motor strip FCD and a full-awake resective procedure with motor brain mapping was performed. Further resection of surgical boundaries monitoring function along intraoperative motor tasks with no direct electrical stimulation corroborated by intraoperative-neuromonitorization was completed as the final part of the surgery. In the follow-up period of 3-years, the patient has an Engel-IB seizure-control with mild distal lower limb palsy and no gate compromise. LESSONS: This report represents one of the few cases with pure motor strip FCD resection. In a scenario similar to this case, the authors consider that this variation can be useful to improve seizure control and the quality of life of these patients by extending the resection of a more extensive epileptogenic zone minimizing functional damage.