| Establishment of a comprehensive epilepsy center in pakistan: initial experiences, results, and reflections. | |
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MedLine Citation:
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PMID: 22957232 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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M Zubair Tahir; Zain A Sobani; S A Quadri; S Nizam Ahmed; Mughis Sheerani; Fowzia Siddiqui; Warren W Boling; Syed Ather Enam |
Publication Detail:
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Type: Journal Article Date: 2012-02-12 |
Journal Detail:
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Title: Epilepsy research and treatment Volume: 2012 ISSN: 2090-1356 ISO Abbreviation: Epilepsy Res Treat Publication Date: 2012 |
Date Detail:
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Created Date: 2012-09-07 Completed Date: 2012-09-10 Revised Date: 2013-04-02 |
Medline Journal Info:
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Nlm Unique ID: 101576602 Medline TA: Epilepsy Res Treat Country: United States |
Other Details:
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Languages: eng Pagination: 547382 Citation Subset: - |
Affiliation:
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Section of Neurosurgery, Department of Surgery, Aga Khan University, Stadium Road, Karachi, Pakistan. |
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