Epilepsy surgery has been performed by a few centres in Malaysia, including Hospital Universiti Sains Malaysia (HUSM). To date, a total of 15 patients have undergone epilepsy surgery in HUSM. The epilepsy surgery included anterior temporal lobectomy (ATL) with amygdalohippocampectomy (AH) and Vagal nerve stimulation (VNS). The surgical outcomes of the patients were assessed using the International League Against Epilepsy (ILAE) outcome scale. The ILAE scores for patients who underwent ATL with AH were comparatively better than those who underwent VNS. One of the patient who underwent ATL with AH and frontal lesionectomy was found to have psychosis during follow up. Epilepsy surgery has proven to be an important treatment for medically resistant epilepsy. Thus it is important to raise public awareness regarding epilepsy and its treatment.
Keywords: Malaysia; epilepsy; stimulation; surgery; vagus nerve.
Surgical Outcomes for Medically Intractable Epilepsy in Low- And Middle-Income Countries: A Systematic Review and Meta-AnalysisA Mansouri et al. J Neurosurg 1-11. PMID 30497170. - ReviewOBJECTIVEThe aim of this study was to describe the current state of epilepsy surgery and establish estimates of seizure outcomes following surgery for medically intractab …
Reoperation After Failed Resective Epilepsy Surgery in ChildrenO Muthaffar et al. J Neurosurg Pediatr 20 (2), 134-140. PMID 28574317.OBJECTIVE Although epilepsy surgery is an effective treatment option, at least 20%-40% of patients can continue to experience uncontrolled seizures resulting from incompl …
Vagus Nerve Stimulation for Medically Refractory Absence EpilepsyR Arya et al. Seizure 22 (4), 267-70. PMID 23391567.VNS may be considered as a therapeutic option in patients with medically refractory absence epilepsy.
Outcome of Laser-Assisted Uvulopalatoplasty (LAUP) in the Management of Snoring in Hospital Universiti Sains Malaysia (USM)B Abdullah et al. Malays J Med Sci 15 (2), 29-32. PMID 22589622.To determine the outcome of laser-assisted uvulopalatoplasty for the management of patients with snoring in Universiti Sains Malaysia Hospital (HUSM). A retrospective rev …
Selective Amygdalohippocampectomy Versus Anterior Temporal Lobectomy in the Management of Mesial Temporal Lobe Epilepsy: A Meta-Analysis of Comparative StudiesWH Hu et al. J Neurosurg 119 (5), 1089-97. PMID 24032705. - ReviewSelective amygdalohippocampectomy statistically reduced the odds of being seizure free compared with ATL, but the clinical significance of this reduction needs to be furt …