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Patients with refractory seizures

Article Abstract:

There are several options for treating patients with epilepsy. People with epilepsy have recurring seizures that can not be completely controlled by medication. It is important to correctly diagnose the patient, since many other conditions can cause a seizure. Five anti-convulsant drugs have been introduced since 1993, which means that doctors have a wider range of options for treating epilepsy with drugs. Long-term use of these drugs must be balanced against their side effects. Dosage can be adjusted to minimize these effects. Surgery, vagus nerve stimulation, and a ketogenic diet may be other alternatives for treating epilepsy.

Author: Devinsky, Orrin
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1999

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Temporal lobectomy for refractory epilepsy

Article Abstract:

People with epilepsy that does not respond well to drugs should be considered for a surgical procedure in which the temporal lobe of the brain is removed. Many seizures arise in this area, which is underneath the temple. Eighty-nine people received this surgery at one hospital between 1986 and 1990. Seventy percent were seizure-free 5 years after surgery. Fifty-five percent had been seizure-free for the entire period. Ninety-three percent of seizure recurrences happened 2 years after surgery.

Author: O'Connor, Michael J., Sperling, Michael R., Saykin, Andrew J., Plummer, Carrie
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1996
Surgery, Temporal lobes

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A 48-year-old man with temporal lobe epilepsy and psychiatric illness

Article Abstract:

The physiology, diagnosis, and treatment of temporal lobe epilepsy are reviewed based on the case of a 48-year-old man. The temporal lobes of the brain are located at the sides of the head. They process memories, emotions, hearing, smell, and some aspects of vision.

Author: Devinsky, Orrin
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2003
Diagnosis, Physiological aspects, Temporal lobe epilepsy

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Subjects list: Care and treatment, Epilepsy
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