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The role of epilepsy surgery in southern Africa

dc.contributor.authorButler J.T.
dc.date.accessioned2011-05-15T16:15:12Z
dc.date.available2011-05-15T16:15:12Z
dc.date.issued2005
dc.identifier.citationActa Neurologica Scandinavica, Supplement
dc.identifier.citation112
dc.identifier.citation181
dc.identifier.issn00651427
dc.identifier.urihttp://hdl.handle.net/10019.1/13240
dc.description.abstractEpilepsy surgery plays an important role in the management of patients with medically refractory temporal lobe epilepsy and lesional epilepsies. When performed early in the course of the illness, surgery can render many patients seizure-free and greatly improve their quality of life. In southern Africa, as in many developing nations, thousands of patients could benefit from epilepsy surgery, but inequalities in healthcare provision mean that ready access to surgical facilities is largely restricted to those with private healthcare insurance. Over the past 5 years, more than 250 patients have had epilepsy surgery in Cape Town; the cause of epilepsy in six of these individuals was neurocysticercosis resulting from central nervous system infection by the larval stage of the pork tapeworm (Taenia solium), which is a common cause of epilepsy in the tropics. In all cases, surgery was successful, with patients becoming seizure-free and reporting a much improved quality of life. © Blackwell Munksgaard 2005.
dc.subjectcentral nervous system infection
dc.subjectconference paper
dc.subjectdeveloping country
dc.subjectepilepsy
dc.subjecthuman
dc.subjectneurocysticercosis
dc.subjectpatient care
dc.subjectquality of life
dc.subjectrisk benefit analysis
dc.subjectSouth Africa
dc.subjectsurgical patient
dc.subjectTaenia solium
dc.subjecttemporal lobe epilepsy
dc.subjecttropics
dc.subjectAfrica
dc.subjectarticle
dc.subjectcross-sectional study
dc.subjectforecasting
dc.subjecthealth care policy
dc.subjecthealth service
dc.subjectsocioeconomics
dc.subjectcestode
dc.subjectdisease course
dc.subjecthealth care system
dc.subjecthealth insurance
dc.subjectlarval stage
dc.subjectreview
dc.subjecttreatment outcome
dc.subjectanticonvulsive agent
dc.subjectAfrica, Southern
dc.subjectAnticonvulsants
dc.subjectCross-Sectional Studies
dc.subjectDeveloping Countries
dc.subjectEpilepsy
dc.subjectEpilepsy, Temporal Lobe
dc.subjectForecasting
dc.subjectHealth Care Reform
dc.subjectHealth Services Needs and Demand
dc.subjectHumans
dc.subjectNeurocysticercosis
dc.subjectSocioeconomic Factors
dc.titleThe role of epilepsy surgery in southern Africa
dc.typeConference Paper
dc.description.versionConference Paper


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