Menon Ramshekhar N, Radhakrishnan Kurupath
Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
Department of Neurology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
Seizure. 2015 Mar;26:1-4. doi: 10.1016/j.seizure.2015.01.005. Epub 2015 Jan 13.
Epilepsy surgery (ES) not only remains one of the most underutilized of all accepted medical interventions, but there has also been a decrease in referrals for ES in recent years in high-income countries. We undertook this study to determine the temporal trends of ES and its current state in India.
We asked the directors of epilepsy centers across India to complete an online questionnaire about the number and type of ES procedures carried out from 1995 or commencement of the program till December 2012.
During the 18-year period, a total of 4252 ES have been undertaken. On an average, 420 ES were being carried out each year in India. Three-fourths of resective surgeries involved the temporal lobe. Although majority of patients were selected for ES by noninvasive strategies, 13 centers had performed long-term invasive EEG monitoring to select complex cases. In between 1995-2000 and 2007-2012, the number of ES carried out in India registered an increase by three-fold.
A steadily increasing number of eligible patients with drug-resistant epilepsy in India are undergoing ES in recent years. This temporal trend of ES in India is in contrast to the recent experience of high-income countries.
癫痫手术（ES）不仅仍然是所有公认的医学干预措施中利用不足的措施之一，而且近年来在高收入国家，转诊接受癫痫手术的人数也有所下降。我们开展这项研究以确定印度癫痫手术的时间趋势及其当前状况。
我们要求印度各地癫痫中心的主任填写一份在线问卷，内容涉及1995年或该项目启动至2012年12月期间所开展的癫痫手术的数量和类型。
在这18年期间，共进行了4252例癫痫手术。印度平均每年进行420例癫痫手术。四分之三的切除性手术涉及颞叶。虽然大多数患者是通过非侵入性策略被选来接受癫痫手术的，但有13个中心进行了长期侵入性脑电图监测以选择复杂病例。在1995 - 2000年和2007 - 2012年期间，印度进行的癫痫手术数量增加了两倍。
近年来，印度越来越多符合条件的耐药性癫痫患者正在接受癫痫手术。印度癫痫手术的这种时间趋势与高收入国家最近的情况形成对比。
