Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Surgery for pharmacoresistant epilepsy in the developing world: A pilot study
Epilepsia, Volume 50, No. 5, Year 2009
Notification
URL copied to clipboard!
Description
Epilepsy prevalence in the developing world is many fold that found in developed countries. For individuals whose conditions failed to respond to pharmacotherapy, surgery is the only opportunity for cure. In Uganda, we developed a center for treatment of intractable temporal lobe epilepsy (iTLE) that functions within the technologic and expertise constraints of a severely low resource area. Our model relies on partnership with epilepsy professionals and training of local staff. Patients were prescreened at regional clinics for iTLE. Individuals meeting inclusion criteria were referred to the treating Ugandan hospital (CURE Children's' Hospital of Uganda, CCHU) for video-EEG (electroencephalography), computed tomography (CT) imaging, and neuropsychological evaluation. Data were transferred to epilepsy experts for analysis and treatment recommendations. Ten patients were diagnosed with iTLE and surgically treated at CCHU. Six (60%) were seizure free, and there was no neurologic morbidity or mortality. Our model for surgical treatment of pharmacoresistant TLE has functioned successfully in a true developing world low resource setting. © 2009 International League Against Epilepsy.
Authors & Co-Authors
Boling, Warren
United States, Morgantown
West Virginia University
United States, Chicago
Departments of Neurosurgery
Palade, Adriana
United States, Morgantown
West Virginia University
Wabulya, Angela
Uganda, Mbale
Cure Children's Hospital of Uganda
Longoni, Nicoletta
United States, Chicago
Departments of Neurosurgery
Warf, Benjamin Curtis
United States, Wilmington
Alfred I. Dupont Hospital for Children
United States, Philadelphia
Thomas Jefferson University
Nestor, Scott
United States, Wheeling
Wheeling Hospital
Alpitsis, Rubina
Netherlands, Groningen
Departments of Neurology
Bittar, Richard
Australia, Clayton
Monash University
Howard, Charles
Uganda, Tororo
Benedictine Eye Hospital
Andermann, Frederick A.
Canada, Montreal
Institut-hôpital Neurologique de Montréal
Statistics
Citations: 36
Authors: 10
Affiliations: 10
Identifiers
Doi:
10.1111/j.1528-1167.2008.01984.x
e-ISSN:
15281167
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Study Locations
Uganda