Intractable epilepsy management: an EEG-oriented approach.

Abstract:

:Intractable epilepsy has always posed a challenge to management; conventional, surgical and alternative techniques available so far (e.g., vagal nerve stimulation, i.e. VNS). The author has attempted to search for a novel alternative (drug-regime) approach to its management to minimise any invasive technique or surgery. The drug-regime is based primarily on EEG-background picture (namely synchronisation and de-synchronisation), which the author claims plays a crucial role in epileptogenesis and/or enhancement of epileptic recruitment. Thus an EEG (both in wake and sleep states) shall be a pre-requisite. The novel drug-regime promises to alter the cortical background-activity in a manner to render it un-favorable for epileptogenesis/enhancement of epileptic recruitment, thereby attempting to produce control over Intractable Epilepsy. The new drug-regime, by virtue of its properties to alter the EEG-background activity, thus could enhance the efficacy of conventional treatment and together, they could form a highly effective management for Intractable Epilepsy, thus minimising the intervention of invasive techniques like VNS and epilepsy brain surgery.

journal_name

Med Hypotheses

journal_title

Medical hypotheses

authors

Jaseja H

doi

10.1016/s0306-9877(03)00150-6

keywords:

subject

Has Abstract

pub_date

2003-08-01 00:00:00

pages

231-4

issue

2

eissn

0306-9877

issn

1532-2777

pii

S0306987703001506

journal_volume

61

pub_type

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