[Surgery unit for epilepsy].
BACKGROUND
Only few medically refractory epileptic patients are evaluated for surgical treatment, in spite of the good results obtained at the Centers where epilepsy surgery is performed.


OBJECTIVE
We are presenting the way the Gregorio Marañón Hospital Epilepsy Surgery Unit functions and their casuistry.


METHODS
This Unit is composed by members of the Services of Neurosurgery, Neurology, Neurophysiology, Neuroradiology, Psychology, Neuropediatry, Nuclear Medicine and Neuroanestesiology. Patients are studied by means of protocols.


RESULTS
Twenty cases were operated upon. The procedures were temporal lobectomy in 9 cases, amygdalo-hipocampectomy in 4, frontal lobectomy in 3, frontal topectomy in 2, partial hemispherectomy in 1 and vagal nerve stimulation in 1. In 16 of the 19 surgery specimen there were some pathological abnormalities. In the short follow-up 13 patients are seizures free experience significant improvement.
Carrillo
R
R
Servicio de Neurocirugía, Hospital Gregorio Marañón, Madrid.
Martín
M
M
Benito
C
C
López-Agreda
J M
JM
Gonzalo
S
S
Pérez-Sotelo
M
M
Bitini
A
A
Domínguez
P
P
Jiménez
I
I
Llauradó
G
G
D004827:Epilepsy / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D009493:Neurosurgery / Q000379:methods*; D013503:Surgery Department, Hospital