Epilepsy surgery in India

Radhakrishnan, Kurupath

doi:10.4103/0028-3886.48791

Cited by 19 publications

(14 citation statements)

References 16 publications

(15 reference statements)

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“…Eventually after temporal lobe resective epilepsy surgery, there is over 70% probability that the patient will be seizure-free and over 30% chance of being free of AEDs within 2 years after surgery. [112113]…”

Section: Epilepsy Surgery In Indiamentioning

confidence: 99%

Epilepsy: Indian perspective

Santhosh

Sinha

Satishchandra

2014

Ann Indian Acad Neurol

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There are 50 million people living with epilepsy worldwide, and most of them reside in developing countries. About 10 million persons with epilepsy are there in India. Many people with active epilepsy do not receive appropriate treatment for their condition, leading to large treatment gap. The lack of knowledge of antiepileptic drugs, poverty, cultural beliefs, stigma, poor health infrastructure, and shortage of trained professionals contribute for the treatment gap. Infectious diseases play an important role in seizures and long-term burden causing both new-onset epilepsy and status epilepticus. Proper education and appropriate health care services can make tremendous change in a country like India. There have been many original researches in various aspects of epilepsy across India. Some of the geographically specific epilepsies occur only in certain regions of our country which have been highlighted by authors. Even the pre-surgical evaluation and epilepsy surgery in patients with drug-resistant epilepsy is available in many centers in our country. This article attempts to provide a complete preview of epilepsy in India.

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Section: Epilepsy Surgery In Indiamentioning

confidence: 99%

Epilepsy: Indian perspective

Santhosh

Sinha

Satishchandra

2014

Ann Indian Acad Neurol

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“…35,36 For example, the r. madhavan nayar Center for Comprehensive epilepsy Care at trivandrum, Kerala-one of the leading centers for epilepsy care in asia-has undertaken over 1,000 surgical procedures for epilepsy over the past 14 years. 39 in india as a whole, there are estimated to be over 500,000 potential candidates for epilepsy surgery, but no more than 200 epilepsy operations are currently being undertaken per year. 39 this type of treatment gap can only be minimized by developing many more cost-effective epilepsy surgery programs in resource-poor countries.…”

Section: Surgical Treatment Gapmentioning

confidence: 99%

“…39 in india as a whole, there are estimated to be over 500,000 potential candidates for epilepsy surgery, but no more than 200 epilepsy operations are currently being undertaken per year. 39 this type of treatment gap can only be minimized by developing many more cost-effective epilepsy surgery programs in resource-poor countries. of note, a serious surgical treatment gap also exists in the industrialized world, where too few people receive this treatment, and often too late, especially among the underprivileged sections of society.…”

Section: Surgical Treatment Gapmentioning

confidence: 99%

Challenges in the management of epilepsy in resource-poor countries

2009

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Of the 50 million people with epilepsy worldwide, around 80% reside in resource-poor countries, which are ill-equipped to tackle the enormous medical, social and economic challenges posed by epilepsy. The capability to identify people with epilepsy and provide cost-effective care is compromised by widespread poverty, illiteracy, inefficient and unevenly distributed health-care systems, and social stigma and misconceptions surrounding the disease. Several studies have reported that a large proportion of patients with epilepsy in resource-poor countries never receive appropriate treatment for their condition, and many, although diagnosed and initiated on treatment, soon discontinue treatment. The high cost of treatment, a lack of availability of antiepileptic drugs, and superstitious and cultural beliefs contribute to a large epilepsy treatment gap. A substantial proportion of the current burden of epilepsy in resource-poor countries could be minimized by educating the public about positive features of life with epilepsy, informing primary and secondary physicians about current trends in the management of epilepsies, scaling up routine availability of low-cost antiepileptic drugs, and developing cost-effective epilepsy surgery programs. A comprehensive epilepsy care model should consider the marked heterogeneity of the disorder and its variable effects on the patient, family and community.

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“…However, in India with over 500,000 potential epilepsy surgery candidates, not more than 200 epilepsy surgeries per year are being undertaken today. [23] This gap can be minimized only by developing many more cost-effective epilepsy surgery programs in different parts of the country.…”

Section: Surgical Treatment Gapmentioning

confidence: 99%

Presidential Oration: The 18 ^th Annual Conference of the Indian Academy of Neurology, Trichi, Tamil Nadu, September 24-26, 2010, Epilepsy Care in Developing Countries

Radhakrishnan¹

2010

Ann Indian Acad Neurol

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Nearly 80% of the 50 million people with epilepsy worldwide reside in developing countries that are least equipped to tackle the enormous medical, social and economic challenges posed by epilepsy. These include widespread poverty, illiteracy, inefficient and unevenly distributed health care systems, and social stigma and misconceptions associated with epilepsy. Several studies have reported that a large proportion of patients with epilepsy in developing countries never receive appropriate treatment for their condition, and many, though diagnosed and initiated on treatment, soon discontinue treatment. Unaffordable cost of treatment, unavailability of antiepileptic drugs, and superstitious and cultural beliefs contribute to high epilepsy treatment gap in resource-poor countries. A significant proportion of the current burden of epilepsy in developing countries can be minimized by educating the public about the positive aspects of life with epilepsy and the primary and secondary physicians about current trends in the management of epilepsies, scaling up routine availability of low-cost antiepileptic drugs, and developing cost-effective epilepsy surgery programs.

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Epilepsy surgery in India

Cited by 19 publications

References 16 publications

Epilepsy: Indian perspective

Epilepsy: Indian perspective

Challenges in the management of epilepsy in resource-poor countries

Presidential Oration: The 18 ^th Annual Conference of the Indian Academy of Neurology, Trichi, Tamil Nadu, September 24-26, 2010, Epilepsy Care in Developing Countries

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Epilepsy surgery in India

Cited by 19 publications

References 16 publications

Epilepsy: Indian perspective

Epilepsy: Indian perspective

Challenges in the management of epilepsy in resource-poor countries

Presidential Oration: The 18 th Annual Conference of the Indian Academy of Neurology, Trichi, Tamil Nadu, September 24-26, 2010, Epilepsy Care in Developing Countries

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Presidential Oration: The 18 ^th Annual Conference of the Indian Academy of Neurology, Trichi, Tamil Nadu, September 24-26, 2010, Epilepsy Care in Developing Countries