4.5 Review

The surgical treatment of epilepsy

Journal

NEUROLOGICAL SCIENCES
Volume 42, Issue 6, Pages 2249-2260

Publisher

SPRINGER-VERLAG ITALIA SRL
DOI: 10.1007/s10072-021-05198-y

Keywords

Epilepsy surgery; Drug-resistant; Surgically remediable syndrome; Pre-surgical evaluation; Palliative surgery; Neuromodulation

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In 2009, the Commission for Epilepsy Surgery of the Italian League Against Epilepsy conducted an overview about techniques used for pre-surgical evaluation and surgical treatment of epilepsy. The revised objective is to harmonize general principles regulating patient selection and pre-surgical work-up, as well as to expand the underutilized resource of epilepsy surgery by providing a methodological framework for integrating experiences in this complex sector of neuroscience.
In 2009, the Commission for Epilepsy Surgery of the Italian League Against Epilepsy (LICE) conducted an overview about the techniques used for the pre-surgical evaluation and the surgical treatment of epilepsies. The recognition that, in selected cases, surgery can be considered the first-line approach, suggested that the experience gained by the main Italian referral centers should be pooled in order to provide a handy source of reference. In light of the progress made over these past years, some parts of that first report have accordingly been updated. The present revision aims to harmonize the general principles regulating the patient selection and the pre-surgical work-up, as well as to expand the use of epilepsy surgery, that still represents an underutilized resource, regrettably. The objective of this contribution is drawing up a methodological framework within which to integrate the experiences of each group in this complex and dynamic sector of the neurosciences.

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