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Establishment of a comprehensive epilepsy center in pakistan: initial experiences, results, and reflections.
MedLine Citation:
PMID:  22957232     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Background. Developing countries, home to 80% of epilepsy patients, do not have comprehensive epilepsy surgery programs. Considering these needs we set up first epilepsy surgery center in Pakistan. Methods. Seventeen teleconferences focused on setting up an epilepsy center at the Aga Khan University (AKU), Karachi, Pakistan were arranged with experts from the University of Alberta Hospital, Alberta, Canada and the University of West Virginia, USA over a two-year period. Subsequently, the experts visited the proposed center to provide hands on training. During this period several interactive teaching sessions, a nationwide workshop, and various public awareness events were organized. Results. Sixteen patients underwent surgery, functional hemispherectomy (HS) was done in six, anterior temporal lobectomy (ATL) in six, and neuronavigation-guided selective amygdalohippocampectomy (SAH) using keyhole technique in four patients. Minimal morbidity was observed in ATL and, SAH groups. All patients in SAH group (100%) had Grade 1 control, while only 5 patients (83%) in ATL group, and 4 patients (66%) in HS group had Grade 1 control according to Engel's classification, in average followups of 12 months, 24 months and 48 months for SAH, ATL, and HS, respectively. Conclusion. As we share our experience we hope to set a practical example for economically constrained countries that successful epilepsy surgery centers can be managed with limited resources.
M Zubair Tahir; Zain A Sobani; S A Quadri; S Nizam Ahmed; Mughis Sheerani; Fowzia Siddiqui; Warren W Boling; Syed Ather Enam
Publication Detail:
Type:  Journal Article     Date:  2012-02-12
Journal Detail:
Title:  Epilepsy research and treatment     Volume:  2012     ISSN:  2090-1356     ISO Abbreviation:  Epilepsy Res Treat     Publication Date:  2012  
Date Detail:
Created Date:  2012-09-07     Completed Date:  2012-09-10     Revised Date:  2013-04-02    
Medline Journal Info:
Nlm Unique ID:  101576602     Medline TA:  Epilepsy Res Treat     Country:  United States    
Other Details:
Languages:  eng     Pagination:  547382     Citation Subset:  -    
Section of Neurosurgery, Department of Surgery, Aga Khan University, Stadium Road, Karachi, Pakistan.
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