The need for epilepsy surgery services in Indonesia
- Author:
Suryani Gunadharma
- Publication Type:Journal Article
- From:Neurology Asia
2007;12(Supplement 2):35-37
- CountryMalaysia
- Language:English
-
Abstract:
Background and Objective: Early surgical intervention in appropriately screened patients is likely to
improve overall quality of life and reduce costs to the patient and community. But, surgical treatment
for epilepsy remains underutilized in Indonesia. The purpose of this study is to determine whether
there are candidates for epilepsy surgery in Indonesia. Methods: The study was performed in Hasan
Sadikin and St. Borromew Hospitals, Bandung, West Java, Indonesia. Medical records of patients with
epilepsy from year 2005 at Hasan Sadikin Hospital, and data of patient with epilepsy or seizures who
had brain MR imaging at the Radiology Department, St. Borromew Hospital between 2000 and 2005
were retrospectively analysed. Results: From the total of 118,314 new patients visiting out-patient
clinic in 2005, 253 (0.21%) had epilepsy. Epilepsy is the second most common disease encountered
in neurology outpatient clinic after stroke. Brain MR imaging from 139 seizure and epileptic patients
showed abnormalities in 73 (52.5%), which were hippocampal sclerosis, hippocampal atrophy or
hypertrophy, hippocampal cyst or gliosis, temporal lobe atrophy and hemiatrophy.
Conclusion: There were significant proportion of epilepsy patients who were possible candidates for
surgical treatment in Bandung, Indonesia. There is urgent need for development of epilepsy surgery
service in Indonesia.
- Full text:P020150828615575049607.pdf
