Indicaciones quirurgicas de la epilepsia en la niñez
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | spa |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/61169 |
Resumo: | With the goal of presenting follow-up data from patients seen at the Refractory Epilepsy out-patient clinic of the Hospital de Clínicas de Porto Alegre (HCPA), Brazil, we reviewed the literature on childhood and adolescent epilepsy and epileptic syndromes with indication for surgical treatment. The International League Against Epilepsy’s Subcommission for Pediatric Epilepsy Surgery recommends surgical evaluation for cortical dysplasia, tuberous sclerosis complex, polymicrogyria, hypothalamic hamartoma, hemispheric syndromes, Sturge-Weber, Rasmussen, Landau-Kleffner and other situations such as tumors or cerebrovascular injury. The Subcommission proposes the creation of referral centers with functional methods of evaluation, structural imaging, and a multidisciplinary team that includes neurologists, neurosurgeons, neurophysiologists, neuropediatricians, neuropsychologists, pathologists, neuroradiologists and eletroneurophysiology technicians. Creating these centers in developing countries is possible with the cooperation of other regions. Studies have shown improvement in quality of life with less frequent seizures. At HCPA, we provide evaluations and ongoing clinical management of patients with medically refractory epilepsy. Epilepsy surgery is potentially curative and is particularly useful for the pediatric population. |
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Winckler, Maria Isabel BragattiRiesgo, Rudimar dos SantosOhlweiler, LygiaRanzan, JosianeRotta, Newra Tellechea2012-11-21T01:50:41Z20070025-7680http://hdl.handle.net/10183/61169000670308With the goal of presenting follow-up data from patients seen at the Refractory Epilepsy out-patient clinic of the Hospital de Clínicas de Porto Alegre (HCPA), Brazil, we reviewed the literature on childhood and adolescent epilepsy and epileptic syndromes with indication for surgical treatment. The International League Against Epilepsy’s Subcommission for Pediatric Epilepsy Surgery recommends surgical evaluation for cortical dysplasia, tuberous sclerosis complex, polymicrogyria, hypothalamic hamartoma, hemispheric syndromes, Sturge-Weber, Rasmussen, Landau-Kleffner and other situations such as tumors or cerebrovascular injury. The Subcommission proposes the creation of referral centers with functional methods of evaluation, structural imaging, and a multidisciplinary team that includes neurologists, neurosurgeons, neurophysiologists, neuropediatricians, neuropsychologists, pathologists, neuroradiologists and eletroneurophysiology technicians. Creating these centers in developing countries is possible with the cooperation of other regions. Studies have shown improvement in quality of life with less frequent seizures. At HCPA, we provide evaluations and ongoing clinical management of patients with medically refractory epilepsy. Epilepsy surgery is potentially curative and is particularly useful for the pediatric population.Con el objetivo de presentar el seguimiento de los pacientes ambulatorios de la clínica de epilepsia refractaria del Hospital de Clínicas de Porto Alegre (HCPA), Brasil, se hizo una revisión de la literatura de las epilepsias y síndromes epilépticos del niño y del adolescente, las indicaciones quirúrgicas y los métodos de evaluación. Los casos de epilepsia recomendados por la Subcomisión de Cirugía de la Epilepsia Pediátrica de la Liga Internacional Contra las Epilepsias para evaluación quirúrgica son: displasia cortical, esclerosis tuberosa, polimicrogiria, hamartoma hipotalámico, síndromes hemisféricos, síndromes de Sturge-Weber, Síndrome de Rasmussen, Síndrome de Landau-Kleffner y otras situaciones como tumores o alteraciones vasculares. Se recomienda la formación de centros de referencia que cuenten con métodos de evaluación funcional y de neuroimagen, así como equipo multidisciplinario formado por neurólogos, neurocirujanos, neurofisiólogos, neuropediatras, neuropsicólogos, patólogos, neurorradiólogos y técnicos en electroneurofisiología que mantengan los estándares impuestos de forma estricta. La formación de estos centros en países en desarrollo parece viable, con la cooperación de las regiones con mayores recursos. Numerosos estudios han demostrado una mejoría de la calidad de vida con reducción en la frecuencia de crisis diarias. En el HCPA se desarrolla un estudio de seguimiento ambulatorio de casos de epilepsias refractarias todavía en investigación y tratamiento clínico. La cirugía de la epilepsia es potencialmente curativa y es posible utilizarla en la población infantil.application/pdfspaMedicina (Buenos Aires). Buenos Aires : Sociedad Argentina de Investigación Clínica, 2008. Vol. 67, n.6-1 (2007), p. 614-622EpilepsiaCirurgiaCriançaAdolescenteSíndromeAssistência ambulatorialEletroencefalografiaFisiopatologiaFemininoSeguimentosHemisferectomiaMasculinoPeríodo pós-operatórioSurgeryRefractory epilepsyNeurophysiologyStructural imagingChildhood epileptic syndromesEpilepsia refractariaNeurofisiologíaNeuroimagenSíndromes epilépticos en la niñezCirugía y epilepsia en la niñezIndicaciones quirurgicas de la epilepsia en la niñezSurgical indications in pediatric epilepsy Estrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL000670308.pdf000670308.pdfTexto completo (espanhol)application/pdf170153http://www.lume.ufrgs.br/bitstream/10183/61169/1/000670308.pdfe423c9dc1acd121e4054c371b362ade1MD51TEXT000670308.pdf.txt000670308.pdf.txtExtracted Texttext/plain42853http://www.lume.ufrgs.br/bitstream/10183/61169/2/000670308.pdf.txtf32d0291ae6919a97608809942c994edMD52THUMBNAIL000670308.pdf.jpg000670308.pdf.jpgGenerated Thumbnailimage/jpeg1617http://www.lume.ufrgs.br/bitstream/10183/61169/3/000670308.pdf.jpg6db04b855051b031d0572af3aa247a4dMD5310183/611692019-09-18 03:44:27.279104oai:www.lume.ufrgs.br:10183/61169Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2019-09-18T06:44:27Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Indicaciones quirurgicas de la epilepsia en la niñez |
dc.title.alternative.en.fl_str_mv |
Surgical indications in pediatric epilepsy |
title |
Indicaciones quirurgicas de la epilepsia en la niñez |
spellingShingle |
Indicaciones quirurgicas de la epilepsia en la niñez Winckler, Maria Isabel Bragatti Epilepsia Cirurgia Criança Adolescente Síndrome Assistência ambulatorial Eletroencefalografia Fisiopatologia Feminino Seguimentos Hemisferectomia Masculino Período pós-operatório Surgery Refractory epilepsy Neurophysiology Structural imaging Childhood epileptic syndromes Epilepsia refractaria Neurofisiología Neuroimagen Síndromes epilépticos en la niñez Cirugía y epilepsia en la niñez |
title_short |
Indicaciones quirurgicas de la epilepsia en la niñez |
title_full |
Indicaciones quirurgicas de la epilepsia en la niñez |
title_fullStr |
Indicaciones quirurgicas de la epilepsia en la niñez |
title_full_unstemmed |
Indicaciones quirurgicas de la epilepsia en la niñez |
title_sort |
Indicaciones quirurgicas de la epilepsia en la niñez |
author |
Winckler, Maria Isabel Bragatti |
author_facet |
Winckler, Maria Isabel Bragatti Riesgo, Rudimar dos Santos Ohlweiler, Lygia Ranzan, Josiane Rotta, Newra Tellechea |
author_role |
author |
author2 |
Riesgo, Rudimar dos Santos Ohlweiler, Lygia Ranzan, Josiane Rotta, Newra Tellechea |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Winckler, Maria Isabel Bragatti Riesgo, Rudimar dos Santos Ohlweiler, Lygia Ranzan, Josiane Rotta, Newra Tellechea |
dc.subject.por.fl_str_mv |
Epilepsia Cirurgia Criança Adolescente Síndrome Assistência ambulatorial Eletroencefalografia Fisiopatologia Feminino Seguimentos Hemisferectomia Masculino Período pós-operatório |
topic |
Epilepsia Cirurgia Criança Adolescente Síndrome Assistência ambulatorial Eletroencefalografia Fisiopatologia Feminino Seguimentos Hemisferectomia Masculino Período pós-operatório Surgery Refractory epilepsy Neurophysiology Structural imaging Childhood epileptic syndromes Epilepsia refractaria Neurofisiología Neuroimagen Síndromes epilépticos en la niñez Cirugía y epilepsia en la niñez |
dc.subject.eng.fl_str_mv |
Surgery Refractory epilepsy Neurophysiology Structural imaging Childhood epileptic syndromes |
dc.subject.spa.fl_str_mv |
Epilepsia refractaria Neurofisiología Neuroimagen Síndromes epilépticos en la niñez Cirugía y epilepsia en la niñez |
description |
With the goal of presenting follow-up data from patients seen at the Refractory Epilepsy out-patient clinic of the Hospital de Clínicas de Porto Alegre (HCPA), Brazil, we reviewed the literature on childhood and adolescent epilepsy and epileptic syndromes with indication for surgical treatment. The International League Against Epilepsy’s Subcommission for Pediatric Epilepsy Surgery recommends surgical evaluation for cortical dysplasia, tuberous sclerosis complex, polymicrogyria, hypothalamic hamartoma, hemispheric syndromes, Sturge-Weber, Rasmussen, Landau-Kleffner and other situations such as tumors or cerebrovascular injury. The Subcommission proposes the creation of referral centers with functional methods of evaluation, structural imaging, and a multidisciplinary team that includes neurologists, neurosurgeons, neurophysiologists, neuropediatricians, neuropsychologists, pathologists, neuroradiologists and eletroneurophysiology technicians. Creating these centers in developing countries is possible with the cooperation of other regions. Studies have shown improvement in quality of life with less frequent seizures. At HCPA, we provide evaluations and ongoing clinical management of patients with medically refractory epilepsy. Epilepsy surgery is potentially curative and is particularly useful for the pediatric population. |
publishDate |
2007 |
dc.date.issued.fl_str_mv |
2007 |
dc.date.accessioned.fl_str_mv |
2012-11-21T01:50:41Z |
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Estrangeiro info:eu-repo/semantics/article |
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info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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http://hdl.handle.net/10183/61169 |
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0025-7680 |
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000670308 |
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spa |
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spa |
dc.relation.ispartof.pt_BR.fl_str_mv |
Medicina (Buenos Aires). Buenos Aires : Sociedad Argentina de Investigación Clínica, 2008. Vol. 67, n.6-1 (2007), p. 614-622 |
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