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Outcomes in 248 patients who had Diagnostic Evaluations for Epilepsy Surgery
Lancet 346:1445-1449, Vickrey,B.G.,et al, 1995
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Article Abstract
Surgery for intractable epilepsy is a widely used treatment that is not readily assessed by randomized trials.We evaluated the impact of epilepsy surgery on seizures,medication use,employment,and the quality of life in 248 adults and adolescents consecutively referred to one medical center between 1974 and 1990.Outcomes were determined through self-administered questionnaire and medical record review for 202 surgery and 46 nonsurgery patients whose treatment was usually determined by the presence or absence of an epileptogenic focus.Relative to a nonsurgery group,patients treated surgically had better seizure control with less antiepileptic medication. The impact of epilepsy needs to be assessed in larger prospective studies.
 
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