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Low-grade epilepsy-associated tumour management with or without presurgical evaluation: a multicentre, retrospective, observational study of postsurgical epilepsy outcome Volume 22, numéro 5, October 2020

TEST YOURSELF

(1) Is long-term video-EEG monitoring required for all patients with LEAT-related epilepsy?

 

(2) Is there a difference between presurgically evaluated and non-evaluated patients with LEAT with respect to postoperative seizure freedom?

 

(3) What is the role of presurgical evaluation in LEAT-associated epilepsy surgery management?

 

 

 

 

 

 

 

 

 

 

 

 

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Answers

(1) Long-term video-EEG monitoring might not be required for all patients with LEAT-related epilepsy

 

(2) We did not find a difference between evaluated and non-evaluated patients with LEATs with respect to seizure freedom. However, based on significant differences in major clinical variables that may well affect postoperative results, the similar postsurgical seizure outcome in groups with and without EPE observed in our study should be considered with caution.

 

(3) It is not possible to draw any definitive conclusion regarding whether there is value in formal presurgical evaluation in LEAT patients. However, our findings strongly support the clear need for continued discussion around such patients at epilepsy management conferences in centres with significant experience in epilepsy surgery.

 

 

 

 

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