Setting up an Epilepsy Surgery Service in Malaysia

Selladurai, Benedict M.; Krishnamoorthy, Ennapadam S.; Shorvon, Simon; Schachter, Steven

doi:10.1017/9781139547918.030

Cited by 3 publications

(7 citation statements)

References 7 publications

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“…The use of epilepsy surgery varies throughout Asia, being well developed in some countries and less so in others . Higher‐income countries such as Hong Kong, Japan, Korea, and Taiwan each have several active epilepsy surgery centers, with favorable results (Table ) . However, the services are likely to be underutilized given the number of patients who could benefit from epilepsy surgery, and changing trends in epilepsy management and newer therapeutic procedures require ongoing training programs…”

Section: Psychosocial Diagnostic and Treatment Challengesmentioning

confidence: 99%

“…The service is underutilized, which could be due to insufficient numbers of epileptologists, neurologists, and neuroradiologists. Sociocultural reasons and economic factors do not appear to have a role in the low uptake . In China, epilepsy surgery is mainly available in the larger cities .…”

Section: Psychosocial Diagnostic and Treatment Challengesmentioning

confidence: 99%

“…46 Higher-income countries such as Hong Kong, Japan, Korea, and Taiwan each have several active epilepsy surgery centers, with favorable results (Table 7). [117][118][119][120][121][122][123][124][125][126][127][128][129] However, the services are likely to be underutilized given the number of patients who could benefit from epilepsy surgery, and changing trends in epilepsy management and newer therapeutic procedures require ongoing training programs. [117][118][119][120] Malaysia is considered to be a middle-income country.…”

Section: Epilepsy Surgerymentioning

confidence: 99%

“…Sociocultural reasons and economic factors do not appear to have a role in the low uptake. 121 In China, epilepsy surgery is mainly available in the larger cities. 122 The specialty of epilepsy surgery is developing rapidly, and specialized training courses are held regularly.…”

Section: Epilepsy Surgerymentioning

confidence: 99%

“…T A B L E 7 Epilepsy surgery in Asia by country [117][118][119][120][121][122][123][124][125][126][127][128][129]…”

Section: The Futurementioning

confidence: 99%

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Epilepsy in Asia: Disease burden, management barriers, and challenges

et al. 2018

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This article reviews the burden of epilepsy in Asia, the challenges faced by people with epilepsy, and the management of epilepsy. Comparison is made with other parts of the world. For this narrative review, data were collected using specified search criteria. Articles investigating the epidemiology of epilepsy, diagnosis, comorbidities and associated mortality, stigmatization, and treatment were included. Epilepsy is a global health care issue affecting up to 70 million people worldwide. Nearly 80% of people with epilepsy live in low- and middle-income countries with limited resources. People with epilepsy are prone to physical and psychological comorbidities, including anxiety and depression, which can negatively impact their quality of life. Furthermore, people with epilepsy are at higher risk of premature death than people without epilepsy. Discrimination or stigmatization of people with epilepsy is common in Asia and can affect their education, work, and marriage opportunities. Access to epilepsy treatment varies throughout Asia. Although highly advanced treatment is available in some countries, up to 90% of people with epilepsy are not adequately treated or are not treated with conventional antiepileptic therapy in resource-limited countries. People in remote areas often do not receive any epilepsy care. First-generation antiepileptic drugs (AEDs) are available, but usually only in urban areas, and second-generation AEDs are not available in all countries. Newer AEDs tend to have more favorable safety profiles than first-generation AEDs and provide options to tailor therapy for individual patients, especially those with comorbidities. Active epilepsy surgery centers are present in some countries, although epilepsy surgery is often underutilized given the number of patients who could benefit. Further epidemiologic research is needed to provide accurate epilepsy data across the Asian region. Coordinated action is warranted to improve access to treatment and care.

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Section: Psychosocial Diagnostic and Treatment Challengesmentioning

confidence: 99%

Section: Psychosocial Diagnostic and Treatment Challengesmentioning

confidence: 99%

Section: Epilepsy Surgerymentioning

confidence: 99%

Section: Epilepsy Surgerymentioning

confidence: 99%

“…T A B L E 7 Epilepsy surgery in Asia by country [117][118][119][120][121][122][123][124][125][126][127][128][129]…”

Section: The Futurementioning

confidence: 99%

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Epilepsy in Asia: Disease burden, management barriers, and challenges

et al. 2018

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Underutilization of epilepsy surgery in ASEAN countries

Fong

Lim

et al. 2019

Seizure

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Neuropsychology of Epilepsy in Malaysia: A Narrative Review

Din

2019

JSKM

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The aim of this study is to describe the development of neuropsychological research among epilepsy patients in Malaysia so far, the current trend and the focus of future research endeavour. The research in epilepsy grows concurrently with the interest in the field of neuropsychology in Malaysia. Beginning with the presurgical evaluation of epilepsy patients as part of the epilepsy protocols, research areas expanded further into neuropsychological profiling. The current trend in Malaysia is determining the factors influencing neuropsychological outcomes as well as the risk factors associated with low quality of life among epilepsy patients. The future neuropsychological research should emphasize on the effectiveness of neurorehabilitation of epilepsy patients as well as psychosocial and cultural issues particularly on social stigma and employability in line with the research priorities set by the Research Task Force of the ILAE Commission on Asian and Oceanian Affairs for people with epilepsy in Asia-Oceanic region.

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Setting up an Epilepsy Surgery Service in Malaysia

Cited by 3 publications

References 7 publications

Epilepsy in Asia: Disease burden, management barriers, and challenges

Epilepsy in Asia: Disease burden, management barriers, and challenges

Underutilization of epilepsy surgery in ASEAN countries

Neuropsychology of Epilepsy in Malaysia: A Narrative Review

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