Annual Course: Selecting Patients for Epilepsy Surgery
Program Length: 390 minutes
The AES Annual Course this year is devoted to epilepsysurgery. The course will emphasize selection criteria for surgery, reviewingthe clinical and laboratory features employed to determine candidacy forsurgery. Speakers will review the characteristics that favor surgical treatmentand those that militate against surgery. The program includes lectures, debatesabout surgical controversies, and case studies, and has an internationally renownedfaculty.
Practicing physicians, fellows, residents, nurses,pharmacists, neuropsychologists and research scientists
- Identifythe historical features that suggest that an individual patient is a good candidatefor epilepsy surgery evaluation
- Usediagnostic testing including EEG, MRI, MEG, Wada test, PET scan and otherdiagnostic tests in selecting candidates for surgery and improving patientoutcomes
- Whendefining surgical margins utilize the factors which maximize surgical benefitand minimize complication rates
- Improvemanagement of epilepsy surgery patients by utilizing available technology tomap cortical function
- Apply dataobtained during the preoperative evaluation process to decisions regardingsurgical treatment
- Recognizeindications for re-operation after unsuccessful epilepsy surgery.
Chair: Michael R. Sperling, M.D.
8:00 - 8:10 a.m.
Introduction and Case Presentations
Michael R. Sperling, M.D.
Case of uncontrolled CPS with dominant temporal lobestructural lesion
- Case ofuncontrolled CPS and secondarily generalized partial seizures of extratemporalorigin
- Case ofuncontrolled drop attacks in patient with Lennox-Gastaut syndrome
8:10 - 8:40 a.m.
Who Should Consider Surgery? Recognizing a Surgical Candidateat an Office Interview
Frank G. Gilliam, M.D., M.P.H.
8:40 - 9:10 a.m.
Localizing and Lateralizing Features of Auras and Seizures
Nancy R. Foldvary-Schaefer, D.O.
9:10 - 9:30 a.m.
The Interictal EEG
Barbara Dworetzky, M.D.
9:30 - 10:05 a.m.
Debate: MEG Adds Value to the Surgical Evaluation Process
Hermann Stefan, M.D. and Robert C. Knowlton, M.D.
10:05 - 10:25 a.m.
10:25 - 10:45 a.m.
Identifying a Structural Lesion
Graeme D. Jackson, M.D., FRACP
10:45 - 11:20 a.m.
Debate: Surgery Should Generally Not Be Performed in theAbsence of a Well-defined Structural Lesion
Gregory D. Cascino, M.D. and Itzhak Fried, M.D., Ph.D.
11:20 - 11:40 a.m.
Interictal Cortical Dysfunction
Thomas R. Henry, M.D.
11:40 - 12:15 p.m.
Debate: The Wada Test Is Obsolete
John T. Langfitt, Ph.D. and Ashwini Sharan, M.D.
12:15 - 1:25 p.m.
Lunch Break - On Your Own
1:25 - 2:00 p.m.
Debate: Is It Necessary to Define the Ictal Onset Zone withEEG Prior to Performing Resective Epilepsy Surgery?
John W. Miller, M.D., Ph.D. and Andrew J. Cole, M.D.,FRCP(C)
2:00 - 2:20 p.m.
Assessment of Safety of Resection/Functional Capacity
Ronald P. Lesser, M.D.
2:20 - 2:50 p.m.
fMRI as a Tool to Map Cortical Function: Is It Ready for PrimeTime?
Jeffrey R. Binder, M.D.
2:50 - 3:05 p.m.
3:05 - 3:40 p.m.
Debate: Planning Extent of Resection: The Benefits of Small-TargetedResections vs. Large, Extensive Resections
Jeffrey P. Blount, M.D. and Robert E. Gross, M.D., Ph.D.
3:40 - 4:05 p.m.
Synthesis of Data
John S. Duncan, FRCP
4:05 - 4:20 p.m.
Reoperation: If Primary Surgery Fails, When Should ReoperationBe Considered?
Robert R. Goodman, M.D., Ph.D.
4:20 - 4:30 pm.
Outcome of the Cases Discussed and Conclusion
Michael R. Sperling, M.D.