Epilepsy Behav 2012 Apr 29;23(4):442-6. Epub 2012 Feb 29.
The Leeds Teaching Hospitals NHS Trust, Leeds LS9 7TF, UK.
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Epilepsy Behav 2008 Jul 11;13(1):96-101. Epub 2008 Mar 11.
Department of Neurology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC 27599, USA.
There is a 20-year delay between the diagnosis of epilepsy and surgical treatment. The aim of this study was to describe the different views held by neurologists regarding refractory epilepsy that may contribute to the delay in referring patients for epilepsy surgery. Neurologists in Michigan were mailed a 10-item survey inquiring about their definition of medically refractory epilepsy and their decision-making process in referring patients for epilepsy surgery. Read More
Seizure 2010 May 12;19(4):253-5. Epub 2010 Mar 12.
Department of Neuroscience, Neurology, Uppsala University Hospital, Uppsala, Sweden.
Purpose: Epilepsy surgery is safe and effective for epilepsy that is refractory to medical treatment. However, only a minority of candidates for epilepsy surgery are referred for surgical evaluation. We investigated Swedish neurologists' views on and criteria for referral for epilepsy surgery. Read More
Epilepsia 2012 Jan 5;53(1):35-43. Epub 2011 Oct 5.
Strong Epilepsy Center, Department of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
Purpose: Guidelines for refractory epilepsy recommend timely referral of potential surgical candidates to an epilepsy center for evaluation. However, this approach is seldom a priority for treating neurologists, possibly because of inertia of previous practice and personal attitudes, leading to a buildup of psychosocial disabilities and increased risk of morbidity and mortality. The aim of this study was to assess knowledge and attitudes toward epilepsy surgery among practicing neurologists and identify the barriers that delay the treatment. Read More
Epilepsy Behav 2013 Oct 10;29(1):112-20. Epub 2013 Aug 10.
Strong Epilepsy Center, Department of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Epilepsy surgery (ES) in pediatrics is safe and effective but can be underutilized. Possible barriers could be parental resistance and doctor inertia. We surveyed 138 parents of pediatric patients with epilepsy and found that 25. Read More