Predictors and reasons for epilepsy patients to decline surgery: a prospective study.

ABSTRACT:

Background

In patients with drug-resistant focal epilepsy, resective surgery is the most successful treatment option to achieve seizure freedom. However, a surprisingly high rate of patients declines their physicians' recommendation to undergo removal of the seizure focus or-if necessary-further video-EEG monitoring (VEM).

Methods

In this prospective study, consecutive patients in presurgical assessment with at least one scalp VEM between 2016 and 2018 were included. We assessed both epilepsy-related and psychosocial variables as well as decision-making of physicians and patients, including reasons for decline in the latter.

Results

Out of 116 patients with a total of 165 VEM, 20 patients were eventually found to be ineligible for resection, 51 declined, and 45 agreed

SUBMITTER: Steinbrenner M 

PROVIDER: S-EPMC10025225 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature