Epilepsy surgery in a developing country (Lebanon)

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dc.contributor.author Mikati, Mohamad A.
dc.contributor.author Ataya, Nour
dc.contributor.author El-Ferezli, Jessica
dc.contributor.author Shamseddine, Alhan
dc.contributor.author Rahi, Amal
dc.contributor.author Herlopian, Aline
dc.contributor.author Kurdi, Rana
dc.contributor.author Bhar, Saleh
dc.contributor.author Hani, Abeer
dc.contributor.author Comair, Youssef G.
dc.date.accessioned 2016-11-11T10:24:18Z
dc.date.available 2016-11-11T10:24:18Z
dc.date.copyright 2012 en_US
dc.date.issued 2016-11-11
dc.identifier.issn 1294-9361 en_US
dc.identifier.uri http://hdl.handle.net/10725/4770
dc.description.abstract We present our 10-year experience and preoperative predictors of outcome in 93 adults and children who underwent epilepsy surgery at the American University of Beirut. Presurgical evaluation included video-EEG monitoring, MRI, neuropsychological assessment with invasive monitoring, and other tests (PET, SPECT, Wada). Surgeries included temporal (54%), extratemporal (22%), and multilobar resections (13%), hemispherectomy (4%), vagal nerve stimulation (6%), and corpus callosotomy (1%). Mesial temporal sclerosiswas the mostcommonaetiology (37%). After resective surgery, 70% had Engel class I, 9% class II, 14% class III, and 7% class IV. The number of antiepileptic drugs before surgery was the only preoperative factor associated with Engel class I (p=0.005). Despite the presence of financial and philanthropic aid, many patients could not be operated on for financial reasons. We conclude that advanced epilepsy presurgical workups, surgical procedures, and favourable outcomes, comparable to those of developed countries, are achievable in developing countries, but that issues of financial coverage remain to be addressed. en_US
dc.language.iso en en_US
dc.title Epilepsy surgery in a developing country (Lebanon) en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle ten years experience and predictors of outcome Remove selected en_US
dc.author.school SOM en_US
dc.author.idnumber 201509120 en_US
dc.author.idnumber 201300183 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Epileptic Disorders en_US
dc.journal.volume 14 en_US
dc.journal.issue 3 en_US
dc.article.pages 267-274 en_US
dc.keywords Seizure en_US
dc.keywords Intractable epilepsy en_US
dc.keywords Epilepsy surgery en_US
dc.keywords Developing countries en_US
dc.keywords Cost-of-illness en_US
dc.identifier.doi http://dx.doi.org/10.1684/epd.2012.0522 en_US
dc.identifier.ctation Mikati, M. A., Ataya, N., El-Ferezli, J., Shamseddine, A., Rahi, A., Herlopian, A., ... & Comair, Y. G. (2012). Epilepsy surgery in a developing country (Lebanon): ten years experience and predictors of outcome. Epileptic Disorders, 14(3), 267-274. en_US
dc.author.email abeer.hani@lau.edu.lb en_US
dc.author.email ycomair@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://link.springer.com/article/10.1684/epd.2012.0522 en_US
dc.orcid.id https://orcid.org/0000-0002-5058-5823
dc.author.affiliation Lebanese American University en_US

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