Duration of epilepsy and severity of the disease in neurosurgical patients

The problem of a late referral to surgical treatment in epilepsy was addressed in this study.Objective: To elucidate whether the course of epilepsy is influenced by the duration of the disease.Materials and Methods. A cohort of 91 patients with epilepsy who underwent surgical interventions from 2012...

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Main Authors: G. V. Odintsova, M. V. Aleksandrov, A. Yu. Ulitin, A. V. Koloteva
Format: Article
Language:Russian
Published: IRBIS LLC 2018-11-01
Series:Эпилепсия и пароксизмальные состояния
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Online Access:https://www.epilepsia.su/jour/article/view/426
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author G. V. Odintsova
M. V. Aleksandrov
A. Yu. Ulitin
A. V. Koloteva
author_facet G. V. Odintsova
M. V. Aleksandrov
A. Yu. Ulitin
A. V. Koloteva
author_sort G. V. Odintsova
collection DOAJ
description The problem of a late referral to surgical treatment in epilepsy was addressed in this study.Objective: To elucidate whether the course of epilepsy is influenced by the duration of the disease.Materials and Methods. A cohort of 91 patients with epilepsy who underwent surgical interventions from 2012 to 2017, were retrospectively studied. The disease dynamics (frequency and type of seizures) as well as the EEG changes were assessed.Results. Of those patients, 77% had epilepsy more than 10 years, and 41% – more than 20 years. The temporal localization was found in 71% of cases, and the extra-temporal – in 29%. In all patients, seizures occurred at least once a month. Secondary generalized seizures were found in 58% of patients, and status epilepticus was observed in 30% of cases.Conclusion. The course of epilepsy in the clinical and neurophysiological terms deteriorates with a long duration of the disease. The present results can be used to determine the optimal time for a referral for surgical treatment.
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series Эпилепсия и пароксизмальные состояния
spelling doaj-art-c8e73bef6af64f38861a068fbae9b6842025-08-20T03:57:32ZrusIRBIS LLCЭпилепсия и пароксизмальные состояния2077-83332311-40882018-11-01103445110.17749/2077-8333.2018.10.3.044-051409Duration of epilepsy and severity of the disease in neurosurgical patientsG. V. Odintsova0M. V. Aleksandrov1A. Yu. Ulitin2A. V. Koloteva3Russian Polenov Neurosurgical Institute – a branch of North-Western Federal Medical Research Center n. a. V.A. AlmazovRussian Polenov Neurosurgical Institute – a branch of North-Western Federal Medical Research Center n. a. V.A. AlmazovRussian Polenov Neurosurgical Institute – a branch of North-Western Federal Medical Research Center n. a. V.A. AlmazovRussian Polenov Neurosurgical Institute – a branch of North-Western Federal Medical Research Center n. a. V.A. AlmazovThe problem of a late referral to surgical treatment in epilepsy was addressed in this study.Objective: To elucidate whether the course of epilepsy is influenced by the duration of the disease.Materials and Methods. A cohort of 91 patients with epilepsy who underwent surgical interventions from 2012 to 2017, were retrospectively studied. The disease dynamics (frequency and type of seizures) as well as the EEG changes were assessed.Results. Of those patients, 77% had epilepsy more than 10 years, and 41% – more than 20 years. The temporal localization was found in 71% of cases, and the extra-temporal – in 29%. In all patients, seizures occurred at least once a month. Secondary generalized seizures were found in 58% of patients, and status epilepticus was observed in 30% of cases.Conclusion. The course of epilepsy in the clinical and neurophysiological terms deteriorates with a long duration of the disease. The present results can be used to determine the optimal time for a referral for surgical treatment.https://www.epilepsia.su/jour/article/view/426epilepsydurationdynamicsseverityneurosurgical treatment
spellingShingle G. V. Odintsova
M. V. Aleksandrov
A. Yu. Ulitin
A. V. Koloteva
Duration of epilepsy and severity of the disease in neurosurgical patients
Эпилепсия и пароксизмальные состояния
epilepsy
duration
dynamics
severity
neurosurgical treatment
title Duration of epilepsy and severity of the disease in neurosurgical patients
title_full Duration of epilepsy and severity of the disease in neurosurgical patients
title_fullStr Duration of epilepsy and severity of the disease in neurosurgical patients
title_full_unstemmed Duration of epilepsy and severity of the disease in neurosurgical patients
title_short Duration of epilepsy and severity of the disease in neurosurgical patients
title_sort duration of epilepsy and severity of the disease in neurosurgical patients
topic epilepsy
duration
dynamics
severity
neurosurgical treatment
url https://www.epilepsia.su/jour/article/view/426
work_keys_str_mv AT gvodintsova durationofepilepsyandseverityofthediseaseinneurosurgicalpatients
AT mvaleksandrov durationofepilepsyandseverityofthediseaseinneurosurgicalpatients
AT ayuulitin durationofepilepsyandseverityofthediseaseinneurosurgicalpatients
AT avkoloteva durationofepilepsyandseverityofthediseaseinneurosurgicalpatients