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Related Concept Videos

Epilepsy and Seizures: Overview01:24

Epilepsy and Seizures: Overview

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Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
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Robotic-Guided Stereoelectroencephalography for Invasive Epilepsy Monitoring
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Epilepsy: A Call for Help.

Venkatraman Sadanand1

  • 1Department of Neurosurgery, Loma Linda University; Loma Linda, CA 92354, USA. vsadanand@llu.edu.

Brain Sciences
|February 1, 2018
PubMed
Summary
This summary is machine-generated.

Epilepsy surgery offers significant relief but faces slow adoption. This article proposes a framework to bridge the treatment gap and speed up surgical care for suitable epilepsy patients.

Keywords:
decision analysiseconomicsefficiencyepilepsyepilepsy surgerygame theoryresource allocationreturn on investmenttreatment gap

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Area of Science:

  • Neurology
  • Neurosurgery
  • Health Economics

Background:

  • Epilepsy presents a substantial individual and socioeconomic burden.
  • Epilepsy surgery can achieve significant disease relief, including remission, in select patients.
  • Current surgical treatment for epilepsy is hindered by slow knowledge and technology dissemination, creating a treatment gap.

Purpose of the Study:

  • To explore the causes of the treatment gap in epilepsy surgery.
  • To develop a framework for rational decision-making in epilepsy surgery.
  • To facilitate the timely delivery of surgical care for patients with medically intractable epilepsy.

Main Methods:

  • Literature review on epilepsy surgery adoption and challenges.
  • Analysis of factors contributing to the treatment gap.
  • Development of a decision-making framework for surgical intervention.

Main Results:

  • Identified slow adaptation and dissemination of knowledge and technology as key issues.
  • Proposed a framework to streamline the decision-making process for epilepsy surgery.
  • Highlighted the potential for improved patient outcomes through faster surgical intervention.

Conclusions:

  • Addressing the treatment gap in epilepsy surgery is crucial for improving patient outcomes.
  • A structured decision-making process can accelerate the implementation of effective surgical treatments.
  • Optimizing the delivery of epilepsy surgery can reduce the individual and socioeconomic burden of the disease.