Open AccessUnsatisfactory results of a drug resistant epilepsy surgical treatment: reasons analysis and treatment optimization way
Author(s) -
Г. В. Одинцова,
М. В. Александров,
A. U. Ulitin,
В. Г. Нездоровина,
A. A. Chuchlovin,
Anna Koloteva
Publication year - 2018
Publication title -
translâcionnaâ medicina
Language(s) - English
Resource type - Journals
eISSN - 2410-5155
pISSN - 2311-4495
DOI - 10.18705/2311-4495-2018-5-4-60-68
Subject(s) - epilepsy , medicine , epilepsy surgery , drug resistant epilepsy , pharmacotherapy , population , intensive care medicine , surgery , psychiatry , environmental health
The relevance of the studied problem was caused by high prevalence of drug resistant epilepsy, an increased structural epilepsy detection and extension indications for a surgical treatment. The purpose of article consisted in a research of the reasons of low efficiency of epilepsy surgical treatment in adult population with a cross-disciplinary approach position. Material and methods. The leading approach was the retrospective open research of the failure factors at 14 patiens. Results. It was revealed unsatisfactory result of epilepsy surgical treatment was caused by a complex of the reasons. The disease features have been the main reason for a failure in 100% of cases, additional reasons: irrational pharmacotherapy -in 86%, the surgical reasons — in 36% of cases. Conclusions. The unsatisfactory result of epilepsy surgical treatment was caused by a complex of the reasons. Cross-disciplinary approach to a problem, improvement of the epilepsy managment, further researches are required. Materials of article can be useful for the personified approach at surgical treatment of epilepsy.