Navegando por Palavras-chave "cirurgia de epilepsia"

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    Long-term evaluation of physical activity habits after epilepsy surgery
    (Liga Brasileira de Epilepsia (LBE), 2009-12-01) Leite, Adriana; Scorza, Fulvio Alexandre [UNIFESP]; Albuquerque, Marly de [UNIFESP]; Cukiert, Arthur; Baldauf, Cristine; Argentoni-Baldochi, Meire; Baise-Zung, Carla; Arida, Ricardo Mario [UNIFESP]; Universidade de Mogi das Cruzes Núcleo de Pesquisas Tecnológicas Laboratório de Neurociências; Universidade Federal de São Paulo (UNIFESP); Hospital Brigadeiro
    OBJETIVES: Studies have shown that people with epilepsy have a low degree of participation in physical activities. The purpose of this study was to assess the physical exercise habits in patients after epilepsy surgery using a standardized questionnaire. MMETHODOLOGY: The study population consisted of 102 patients submitted to cortico-amigdalo-hippocampectomy. A questionnaire was designed to assess physical activities participation before and after surgery. Patients were classified as physically active, inadequately active or sedentary. The questionnaire was applied pre-operatively and after a mean of 47 months post-operatively. RESULTS: Forty eight per cent of the patients participated in physical activities before surgery and 56% of them did so post-operatively. No considerable changes in physical activity participation were observed after surgery. Additionally, the frequency they needed supervision during exercise, were advised by a physician not to practice exercise or cautioned by a relative or friend against participation in sports did not change significantly after successful epilepsy surgery. Less exercise-related seizures occurred postoperatively. CONCLUSION: Difficulties adapting to seizure freedom and psychosocial and psychiatric co-morbidity might be important factors interfering in these physical activity habits. A multidisciplinary approach might be the only way to try to alter some aspects of these patients' postoperative life style.
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    Pre-surgical mood disorders associated to worse post-surgical seizure outcome in patients with refractory temporal lobe epilepsy and mesial temporal sclerosis
    (Liga Brasileira de Epilepsia (LBE), 2012-03-01) Araujo Filho, Gerardo Maria de [UNIFESP]; Gomes, Francinaldo Lobato [UNIFESP]; Mazetto, Lenon [UNIFESP]; Marinho, Murilo Martinez [UNIFESP]; Tavares, Igor Melo [UNIFESP]; Caboclo, Luís Otávio Sales Ferreira [UNIFESP]; Yacubian, Elza Márcia Targas [UNIFESP]; Centeno, Ricardo Silva [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVES: This study aims at verifying the impact of pre-surgical PD on seizure outcome in patients with refractory temporal lobe epilepsy and mesial temporal sclerosis (TLE-MTS). METHODS: After previous consent, retrospective data from 115 surgically treated (corticoamygdalohyppocampectomy) TLE-MTS patients (65 females; 56.5%) were analyzed. Psychiatric evaluations were performed through DSM-IV criteria. Engel IA was established as a favorable prognosis. RESULTS: Forty-five patients (41.6%) were classified as Engel IA, while 47 (40.8%) presented pre-surgical PD. Depression (OR=5.11; p=0.004) appeared as a risk factor associated to a non-favorable seizure outcome. CONCLUSION: In patients with refractory TLE-MTS, the presence of depression predicts an unfavorable outcome.