Treatment algorithms in refractory partial epilepsy.
An algorithm is a "step-by-step procedure for solving a problem or accomplishing some end....in a finite number of steps." (Merriam-Webster, 2009). Medical algorithms are decision trees to help with diagnostic and therapeutic decisions. For the treatment of epilepsy there is no generally accepted treatment algorithm, as individual epilepsy centers follow different diagnostic and therapeutic guidelines. This article presents two algorithms to guide decisions in the treatment of refractory partial epilepsy. The treatment algorithm describes a stepwise diagnostic and therapeutic approach to intractable medial temporal and neocortical epilepsy. The surgical algorithm guides decisions in the surgical treatment of neocortical epilepsy.
Jobst
Barbara C
BC
Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 02756, USA. Barbara.c.jobst@hitchcock.org
D000465:Algorithms; D000927:Anticonvulsants / Q000627:therapeutic use; D001932:Brain Neoplasms / Q000175:diagnosis / Q000601:surgery; D003663:Decision Trees; D004569:Electroencephalography / Q000706:statistics & numerical data; D004828:Epilepsies, Partial / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery*; D004827:Epilepsy / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008279:Magnetic Resonance Imaging; D019579:Neocortex / Q000503:physiopathology; D049268:Positron-Emission Tomography; D015899:Tomography, Emission-Computed, Single-Photon; D014743:Videotape Recording
D000927:Anticonvulsants; D019788:Fluorodeoxyglucose F18