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Epileptic Disorders

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Epilepsy surgery for polymicrogyria: a challenge to be undertaken Volume 20, numéro 5, October 2018

TEST YOURSELF

(1) What is the possible relationship between polymicrogyria and the epileptogenic zone in PMG-related drug-resistant epilepsy patients?

A. The epileptogenic zone involves the entire PMG without additional remote cortical areas.

B. The epileptogenic zone involves the entire PMG and remote cortical areas.

C. The epileptogenic zone involves only part of the PMG with additional remote cortical areas.

D. The epileptogenic zone involves only remote cortical areas.

E. All of the above.

 

(2) Proceeding directly to surgery in PMG-related drug-resistant epilepsy may be an option for:

A. Cases of small-sized unilobar PMG with fully concordant electroclinical findings and lack of electroclinical and PET evidence of remote cortical involvement.

B. Young children with a hemispheric PMG, multifocal unilateral seizure onset, and presurgical hemiparesis.

C. Both A & B.

D. None of the above; invasive EEG is needed in all cases.

 

(3) In young children with PMG-related drug-resistant epilepsy:

A. Surgery should be considered as soon as the criteria for pharmacoresistance are met.

B. Only hemispheric procedures can achieve seizure freedom.

C. The indication for surgery should be set with caution, since some forms of PMG-associated epilepsy may entail spontaneous recovery at puberty.

D. A & B

E. A & C

 

 

 

 

 

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Answers

(1) E.

(2) C.

(3) E.

 

 

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