Az epilepszia mutéti kezelése.

Translated title of the contribution: Surgical treatment of epilepsy

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

In this article the possibilities, indications, methods and results of surgery in epilepsy are summarized in general with the Hungarian experience emphasized. Surgery may provide effective treatment in about 5-10% of the epileptic population. Surgical solution nowadays became an essential treatment in medial temporal epilepsy, if hippocampal sclerosis or other lesion is present, in therapy resistant lesional extratemporal epilepsies and in catastrophic childhood epilepsies if the epileptic disorder is restricted to one hemisphere (Rasmussen syndrome, hemimegalencephaly, Sturge-Weber disease and posttraumatic or postencephalitic hemispherial epilepsies). The algorithms of the presurgical evaluation and the current methods for study the pacemaker area, forbidden zones, and hemispherial functions are treated. The currently used type and techniques of surgery, such as lesionectomy, temporal lobe resections, hemispherotomy, callosotomy, multiple subpial transsections and their indications are described. The newest surgical approaches, as deep brain stimulation, vagal nerve stimulation, and irradiation techniques are also briefly touched. Lastly, we deal with prognostical factors of the surgical outcome, reasons of surgical failures and complications. In a brief chapter the importance of postsurgical rehabilitation is emphasized.

Original languageHungarian
Pages (from-to)189-205
Number of pages17
JournalIdeggyógyászati szemle
Volume57
Issue number5-6
Publication statusPublished - May 20 2004

Fingerprint

Epilepsy
Sturge-Weber Syndrome
Vagus Nerve Stimulation
Therapeutics
Deep Brain Stimulation
Sclerosis
Encephalitis
Temporal Lobe
Rehabilitation
Population

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Az epilepszia mutéti kezelése. / Halász, P.; Vajda, J.; Czirják, S.

In: Ideggyógyászati szemle, Vol. 57, No. 5-6, 20.05.2004, p. 189-205.

Research output: Contribution to journalArticle

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