Response to "Failed epilepsy surgery: It is not too late"

Authors

RYZÍ Michal REKTOR Ivan OŠLEJŠKOVÁ Hana NOVÁK Zdeněk HEMZA Jan CHRASTINA Jan BRÁZDIL Milan

Year of publication 2015
Type Article in Periodical
Magazine / Source Epilepsy Research
MU Faculty or unit

Faculty of Medicine

Citation
Doi http://dx.doi.org/10.1016/j.eplepsyres.2015.04.006
Field Neurology, neurosurgery, neurosciences
Keywords TEMPORAL-LOBE EPILEPSY; ANTIEPILEPTIC DRUGS; MANAGEMENT
Attached files
Description Thank you for the opportunity to respond to the letter from Englot et al. regarding our recent publication (Ryzí et al., 2015). We agree that there is a need for further detailed investigation into the reasons for surgical failure, and for seeking possibilities for re-operations and other treatment options after surgical failure. The reasons for the failures in our group were incomplete resections of the seizure on set zone in 21 patients (61.8 %) and additional epileptogenic regions in 13 patients (38.2 %) — five patients with bitemporal findings, six without MRI lesions in preoperative assessment, and two with focal cortical dysplasia type I in histology.

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