Featured Research

from universities, journals, and other organizations

Survey of epilepsy centers shows changing landscape in epilepsy surgery

Date:
December 6, 2013
Source:
American Epilepsy Society (AES)
Summary:
Epilepsy surgery is a very effective intervention for patients with treatment resistant epilepsy. The most successful and most common epilepsy surgery is temporal lobectomy, which produces seizure freedom in approximately two-thirds of patients. The strongest candidates for this type of surgery are those who have had treatment resistant epilepsy which includes 30-40 percent of all epilepsy cases. Even with this clear benefit, epilepsy specialists report that the overall number of surgeries in adults, as well as the number of temporal lobectomies, has decreased from their peaks.

Epilepsy surgery is a very effective intervention for patients with treatment resistant epilepsy. The most successful and most common epilepsy surgery is temporal lobectomy, which produces seizure freedom in approximately two-thirds of patients. The strongest candidates for this type of surgery are those who have had treatment resistant epilepsy which includes 30-40 percent of all epilepsy cases. Even with this clear benefit, epilepsy specialists today reported at the Presidential Symposia during the American Epilepsy Society Annual Meeting, that the overall number of surgeries in adults, as well as the number of temporal lobectomies, has decreased from their peaks.

An American Academy of Neurology and American Epilepsy Society guideline recommends temporal lobectomy as the treatment of choice for treatment resistant temporal lobe epilepsy. Yet, in a survey of centers with large epilepsy surgery programs, the number of overall surgeries in adults, as well as the number of temporal lobectomies had decreased almost universally from their peaks. Moreover, surgeries for mesial temporal sclerosis have declined by half, whereas non-lesional cases have increased by a third.

"There is no reduction in the number of adults with treatment resistant epilepsy," says Jacqueline French, M.D., AES President and Director of Clinical Trials Consortium NYU Medical School and Comprehensive Epilepsy Center. "The research presented shows that there are several epidemiological reasons behind the reductions in adult surgery rates. This indicates the need to increase education about epilepsy surgery for patients and neurologists alike and the need to improve communication between epilepsy centers and neurologists."

In addition to better communication, the study presenters suggest that adult neurologists should continue efforts to find temporal lobe epilepsy patients (who most benefit from resective surgery) and promote early referral. There is also a need for better strategies for evaluating patients for surgery and to enhance basic research on non-temporal lobe epilepsy.

In contrast to the decrease in the rates of epilepsy surgery for adults, the rates of surgery in children is rising. This change in surgical landscape in children does not appear to be epidemiological but, rather, likely reflects a change in how neurologists are addressing the problem and are therefore referring more pediatric patients for surgery.

"In general neurologists are now weighing the risks-benefits of the current course of uncontrolled seizures vs. the risk of surgery. They are factoring in that uncontrolled epilepsy is bad for the developing brain and quality of life. They are also looking at life expectancy and that effective epilepsy surgery in children can improve development. Research has also shown that surgery in children is safe -- comparable to other aspects of pediatric neurosurgery and that it can be cost effective," says Howard L. Weiner, M.D., NYU Langone Medical Center.


Story Source:

The above story is based on materials provided by American Epilepsy Society (AES). Note: Materials may be edited for content and length.


Cite This Page:

American Epilepsy Society (AES). "Survey of epilepsy centers shows changing landscape in epilepsy surgery." ScienceDaily. ScienceDaily, 6 December 2013. <www.sciencedaily.com/releases/2013/12/131206162953.htm>.
American Epilepsy Society (AES). (2013, December 6). Survey of epilepsy centers shows changing landscape in epilepsy surgery. ScienceDaily. Retrieved August 27, 2014 from www.sciencedaily.com/releases/2013/12/131206162953.htm
American Epilepsy Society (AES). "Survey of epilepsy centers shows changing landscape in epilepsy surgery." ScienceDaily. www.sciencedaily.com/releases/2013/12/131206162953.htm (accessed August 27, 2014).

Share This




More Health & Medicine News

Wednesday, August 27, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

WHO Calls for Ban on E-Cigarette Sales to Minors

WHO Calls for Ban on E-Cigarette Sales to Minors

AFP (Aug. 26, 2014) The World Health Organization called Tuesday on governments should ban the sale of e-cigarettes to minors, warning that they pose a "serious threat" to foetuses and young people. Duration: 01:44 Video provided by AFP
Powered by NewsLook.com
Have You Ever Been 'Sleep Drunk?' 1 in 7 Has

Have You Ever Been 'Sleep Drunk?' 1 in 7 Has

Newsy (Aug. 26, 2014) A study published in the journal "Neurology" interviewed more than 19,000 people and found 15 percent suffer from being "sleep drunk." Video provided by Newsy
Powered by NewsLook.com
Does Medical Marijuana Reduce Painkiller Overdose Deaths?

Does Medical Marijuana Reduce Painkiller Overdose Deaths?

Newsy (Aug. 26, 2014) A new study found fewer deaths from prescription drug overdoses in states that have legalized medical marijuana. But experts disagree on the results. Video provided by Newsy
Powered by NewsLook.com
Official: British Ebola Sufferer Receiving Experimental Drug

Official: British Ebola Sufferer Receiving Experimental Drug

AFP (Aug. 26, 2014) A British nurse infected with Ebola while working in Sierra Leone is being given the same experimental drug used on two US missionaries who have recovered for the disease, doctors in London say. Duration: 00:44 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

    Environment News

    Technology News



    Save/Print:
    Share:

    Free Subscriptions


    Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

    Get Social & Mobile


    Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

    Have Feedback?


    Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
    Mobile: iPhone Android Web
    Follow: Facebook Twitter Google+
    Subscribe: RSS Feeds Email Newsletters
    Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins