Archived AES Symposia 2004
Treatment of Epilepsy: Improving Outcomes with Innovative Surgical Techniques
Program Length: 1 hrs 53 min
The theme of the symposium is innovative surgical techniques for epilepsy. Three topics (hemispheric syndromes, temporal lobe epilepsy, and tuberous sclerosis) will each include two subtopics addressed by a neurologist and a neurosurgeon. The talks will address: 1) selection of candidates for hemispherectomy, 2) experience related to seizure outcome and complications of hemispherectomies performed in different clinical settings, and the strategy for choosing the best surgical approach, 3) challenges related to offering temporal resection, 4) current available data from surgical trials that may have bearing on this issue, 5) the available data concerning the roles of conventional MRI, scalp EEG, PET (FDG, flumazenil, and AMT), ictal SPECT, and diffusion-weighted MRI in identifying the epileptogenic tuber(s) for resection, and 6) the overall surgical strategy for patients with tuberous sclerosis.
At the conclusion of this activity, participants should be able to:
- Identify favorable candidates for hemispherectomy for refractory epilepsy, and understand the issues related to selection of operative technique
- Recognize the issues related to surgical planning in temporal lobe epilepsy, to obtain the best seizure outcome with the least risk for postoperative memory deficit
- Appreciate strategies for developing a surgical plan for patients with focal epilepsy due to tuberous sclerosis.
Chair: Elaine Wyllie, M.D.
- Hemispheric Syndromes
- Evolving Concepts in Selection of Hemispherectomy Candidates
Ajay Gupta, M.D.
- Tailoring the Hemispherectomy Technique for Best Seizure Outcome
William E. Bingaman, M.D.
- Striking a Balance Between Seizure and Memory Outcome
Frank G. Gilliam, M.D., M.P.H.
- Selective vs. Standard Resection vs. Radiosurgical Ablation: What Have We Learned So Far from Comparative Trials?
Nicholas M. Barbaro, M.D.
- Identifying Epileptogenic Tubers by Noninvasive Techniques
Helen Cross, M.D., Ph.D.
- Surgery in Tuberous Sclerosis, and the Role of Invasive Monitoring in the Identification of Epileptogenic Tubers
Howard L. Weiner, M.D.
Dr. Barbaro has indicated that he receives grants/research support from NIH and Elekta Corporation.
Dr. Bingaman has indicated that he has no relationships to disclose.
Dr. Cross has indicated that she has no relationships to disclose.
Dr. Gilliam has indicated that he receives grants/research support and honoraria from Ortho-McNeil, GlaxoSmithKline, UCB Pharma, Novartis Pharmaceuticals Corporation, and Pfizer Inc.
Dr. Gupta has indicated that he has no relationships to disclose.
Dr. Weiner has indicated that he has no relationships to disclose.