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The surgical treatment of epilepsy

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Abstract

In 2009, the Commission for Epilepsy Surgery of the Italian League Against Epilepsy (LICE) conducted an overview about the techniques used for the pre-surgical evaluation and the surgical treatment of epilepsies. The recognition that, in selected cases, surgery can be considered the first-line approach, suggested that the experience gained by the main Italian referral centers should be pooled in order to provide a handy source of reference. In light of the progress made over these past years, some parts of that first report have accordingly been updated. The present revision aims to harmonize the general principles regulating the patient selection and the pre-surgical work-up, as well as to expand the use of epilepsy surgery, that still represents an underutilized resource, regrettably. The objective of this contribution is drawing up a methodological framework within which to integrate the experiences of each group in this complex and dynamic sector of the neurosciences.

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Authors and Affiliations

  1. Division of Neurosurgery, IRCCS Giannina Gaslini Children’s Hospital, Genoa, Italy

    Alessandro Consales

  2. Epilepsy Surgery Centre, IRCCS Neuromed, Via Atinense, 18, 86170, Pozzilli, IS, Italy

    Sara Casciato & Giancarlo Di Gennaro

  3. Department of Biomedical and Neuromotor Sciences, Section of Anatomic Pathology “M. Malpighi”, Bellaria Hospital, Bologna, Italy

    Sofia Asioli

  4. Neuroscience Department, Meyer Children’s Hospital-University of Florence, Florence, Italy

    Carmen Barba

  5. Department of Neuroscience, Imaging and Clinical Sciences, “G. D’Annunzio” University, Chieti, Italy

    Massimo Caulo

  6. Institute of Neurosurgery, Catholic University of Sacred Heart, Rome, Italy

    Gabriella Colicchio

  7. “C. Munari” Epilepsy Surgery Center, Niguarda Hospital, Milan, Italy

    Massimo Cossu & Laura Tassi

  8. Department of Neuroscience and Neurorehabilitation, Bambino Gesù Children Hospital, Rome, Italy

    Luca de Palma & Carlo Efisio Marras

  9. Department of Human Neurosciences, “Sapienza” University, Rome, Italy

    Alessandra Morano

  10. Department of Neurological and Sensorial Sciences, University of Siena, Siena, Italy

    Giampaolo Vatti

  11. Division of Neurophysiology and Epilepsy Centre, IRCCS San Martino Policlinic Hospital, Genoa, Italy

    Flavio Villani

  12. Child Neuropsychiatric Unit, University of Ancona, Ancona, Italy

    Nelia Zamponi

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  1. Alessandro Consales
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  15. Carlo Efisio Marras
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Corresponding author

Correspondence to Giancarlo Di Gennaro.

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On behalf of Italian League Against Epilepsy, Commission for Epilepsy Surgery and Italian Neurological Society, Epilepsy Study Group

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Consales, A., Casciato, S., Asioli, S. et al. The surgical treatment of epilepsy. Neurol Sci 42, 2249–2260 (2021). https://doi.org/10.1007/s10072-021-05198-y

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