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Establishment of a Comprehensive Epilepsy Center in Pakistan : Initial Experiences, Results, and Reflections
Joint Authors
Siddiqui, Fowzia
Quadri, S. A.
Boling, Warren W.
Ahmed, S. Nizam
Tahir, M. Zubair
Sobani, Zain A.
Enam, Syed Ather
Sheerani, Mughis
Source
Epilepsy Research and Treatment
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-12
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Developing countries, home to 80% of epilepsy patients, do not have comprehensive epilepsy surgery programs.
Considering these needs we set up first epilepsy surgery center in Pakistan.
Methods.
Seventeen teleconferences focused on setting up an epilepsy center at the Aga Khan University (AKU), Karachi, Pakistan were arranged with experts from the University of Alberta Hospital, Alberta, Canada and the University of West Virginia, USA over a two-year period.
Subsequently, the experts visited the proposed center to provide hands on training.
During this period several interactive teaching sessions, a nationwide workshop, and various public awareness events were organized.
Results.
Sixteen patients underwent surgery, functional hemispherectomy (HS) was done in six, anterior temporal lobectomy (ATL) in six, and neuronavigation-guided selective amygdalohippocampectomy (SAH) using keyhole technique in four patients.
Minimal morbidity was observed in ATL and, SAH groups.
All patients in SAH group (100%) had Grade 1 control, while only 5 patients (83%) in ATL group, and 4 patients (66%) in HS group had Grade 1 control according to Engel’s classification, in average followups of 12 months, 24 months and 48 months for SAH, ATL, and HS, respectively.
Conclusion.
As we share our experience we hope to set a practical example for economically constrained countries that successful epilepsy surgery centers can be managed with limited resources.
American Psychological Association (APA)
Tahir, M. Zubair& Sobani, Zain A.& Quadri, S. A.& Ahmed, S. Nizam& Sheerani, Mughis& Siddiqui, Fowzia…[et al.]. 2012. Establishment of a Comprehensive Epilepsy Center in Pakistan : Initial Experiences, Results, and Reflections. Epilepsy Research and Treatment،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-480451
Modern Language Association (MLA)
Tahir, M. Zubair…[et al.]. Establishment of a Comprehensive Epilepsy Center in Pakistan : Initial Experiences, Results, and Reflections. Epilepsy Research and Treatment No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-480451
American Medical Association (AMA)
Tahir, M. Zubair& Sobani, Zain A.& Quadri, S. A.& Ahmed, S. Nizam& Sheerani, Mughis& Siddiqui, Fowzia…[et al.]. Establishment of a Comprehensive Epilepsy Center in Pakistan : Initial Experiences, Results, and Reflections. Epilepsy Research and Treatment. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-480451
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-480451