Is psychiatric assessment essential for better epilepsy surgery outcomes?

Sawant, Neena S; Ravat, Sangeeta; Muzumdar, Dattatraya; Shah, Urvashi

doi:10.1016/j.ijsu.2015.06.025

Cited by 12 publications

(5 citation statements)

References 52 publications

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“…This calls for a comprehensive psychiatric assessment of ES candidates pre-and postsurgery to minimize the risk of postsurgical psychiatric morbidities and/or poor quality of life. 10 The literature search conducted in the present paper comprised empirical research studies, reviews, books and chapters along with references included within identified works. The Scopus, PubMed, and Google scholar databases were used as search engines.…”

Section: Palavras-chavementioning

confidence: 99%

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Neuropsychology of epilepsy surgery and theory-based practice: an opinion review

Patrikelis,

Messinis,

Kimiskidis

et al. 2023

Arq Neuropsiquiatr

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The present review attempts to discuss how some of the central concepts from the Lurian corpus of theories are relevant to the modern neuropsychology of epilepsy and epilepsy surgery. Through the lenses of the main Lurian concepts (such as the qualitative syndrome analysis), we discuss the barriers to clinical reasoning imposed by quadrant-based views of the brain, or even atheoretical, statistically-based and data-driven approaches. We further advice towards a systemic view inspired by Luria's clinical work and theorizing, given their importance towards our clinical practice, by contrasting it to the modular views when appropriate. Luria provided theory-guided methods of assessment and rehabilitation of higher cortical functions. Although his work did not specifically address epilepsy, his theory and clinical approaches actually apply to the whole neuropathology spectrum and accounting for the whole panorama of neurocognition. This holistic and systemic approach to the brain is consistent with the network approach of the neuroimaging era. As to epilepsy, the logic of cognitive functions organized into complex functional systems, contrary to modular views of the brain, heralds current knowledge of epilepsy as a network disease, as well as the concept of the functional deficit zone.

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Section: Palavras-chavementioning

confidence: 99%

“…This calls for a comprehensive psychiatric assessment of ES candidates pre- and postsurgery to minimize the risk of postsurgical psychiatric morbidities and/or poor quality of life. 10 …”

Section: Introductionmentioning

confidence: 99%

Neuropsychology of epilepsy surgery and theory-based practice: an opinion review

Patrikelis,

Messinis,

Kimiskidis

et al. 2023

Arq Neuropsiquiatr

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“…Further awareness to ADHD could reduce transplant rejection and would increase post-operative outcomes. Awareness of psychiatric conditions in surgical care is not new, and many screening tools and procedural adaptations exist for a variety of surgical procedures [15,16]. However, prior research has indicated that these tools and adaptations are not commonly used [6].…”

Section: Figurementioning

confidence: 99%

Post-operative complications and ADHD

Yoon

Kennis²,

Hale³

2022

Front. Child Adolesc. Psychiatry

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ADHD is associated with a number of developmental, emotional, social, academic, and cognitive health risks that can affect the adolescents' quality of life. There have been various guidelines published regarding the management of children with ADHD, however, it has been reported that physicians may not adequately screen for ADHD prior to surgery. To our knowledge, there are no such studies studying post-operative complications and outcome rates in adolescents with ADHD. We conducted a retrospective case-control study through the TriNetX databases. We identified patients with ADHD (ICD-10: F90) undergoing a surgical procedure (CPT: 1003143), and a control group of non-ADHD patients undergoing a surgical procedure. From these two pairs of case-control cohorts we compared outcomes of post-procedural infections, post-procedural shock, and any post-procedural complications. We identified 791,481 matched pairs of subjects undergoing surgery where one of the pair had ADHD and the other did not. Among subjects undergoing a surgical procedure, those with ADHD had a significantly higher risk of post-procedural infection and any post-procedural complication, relative to subjects without ADHD. Furthermore, those with ADHD showed a heightened risk of post-procedural complications in all procedural subcategories. These novel findings suggest that ADHD is a notable factor in surgical care and should be given special consideration by both surgeons and psychiatrists.

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“…Involvement of a psychiatrist in the surgical process just by itself makes this a valuable report, and sends an important message about the validity and notability of this report. 4 Although the assessments are not gold standard—which would include structured diagnostic interviews by research-trained psychiatrists—the study still offers valuable information and is easily a model for future teams to follow.…”

Section: Commentarymentioning

confidence: 99%