Evaluación pre y postquirúrgica en paciente con epilepsia refractaria
Cargando...
Fecha
2022
Autores
Duarte Bolívar, Lorena Patricia
Título de la revista
ISSN de la revista
Título del volumen
Editor
Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
Introducción. La evaluación neuropsicológica ha desempeñado un papel
importante a lo largo del tiempo, en conjunto con el estudio de la epilepsia, y
específicamente en el tratamiento quirúrgico de esta patología. Se ha logrado
demostrar que los resultados neuropsicológicos obtenidos han otorgado acertadas
predicciones con respecto al resultado de las convulsiones luego de una lobectomía
temporal. La inclusión de la evaluación neuropsicológica ha implicado evidenciar
deficiencias con relación al tratamiento médico de la epilepsia y se ha podido
documentar el deterioro significativo en la mayoría de las pacientes que la presentan
(Loring, 1997).
Se desea establecer con la evaluación neuropsicológica, el funcionamiento
neurocognitivo del paciente antes, si es posible durante y después de la intervención
quirúrgica que permita establecer un diagnóstico funcional acerca de los procesos
que se conservan, cuáles se recuperan y cuales se afectan para establecer planes
de rehabilitación e intervención acordes con las condiciones y necesidades del
paciente. Objetivo: Evaluar el funcionamiento cognitivo del paciente con
diagnóstico de epilepsia refractaria, de forma pre y postquirúrgica. Metodología: Se
evaluará de forma cualitativa los déficits neuropsicológicos que éste presenta, con
base en el análisis sindrómico. Se trabajará bajo el diseño de investigación estudio
de caso, con una metodología clínica cualitativa.
Introduction. Neuropsychological evaluation has played an important role over time, in conjunction with the study of epilepsy, and specifically in the surgical treatment of this pathology. It has been demonstrated that the neuropsychological results obtained have given accurate predictions regarding the outcome of seizures after temporal lobectomy. The inclusion of the neuropsychological evaluation has implied showing deficiencies in relation to the medical treatment of epilepsy and it has been possible to document the significant deterioration in most of the patients who present it (Loring, 1997). It is desired to establish with the neuropsychological evaluation, the neurocognitive functioning of the patient before, if possible during and after the surgical intervention that allows establishing a functional diagnosis about the processes that are preserved, which are recovered and which are affected to establish treatment plans. rehabilitation and intervention according to the conditions and needs of the patient. Objective: To evaluate the cognitive functioning of the patient diagnosed with refractory epilepsy, before and after surgery. Methodology: The neuropsychological deficits that it presents will be qualitatively evaluated, based on the syndromic analysis. We will work under the case study research design, with a qualitative clinical methodology.
Introduction. Neuropsychological evaluation has played an important role over time, in conjunction with the study of epilepsy, and specifically in the surgical treatment of this pathology. It has been demonstrated that the neuropsychological results obtained have given accurate predictions regarding the outcome of seizures after temporal lobectomy. The inclusion of the neuropsychological evaluation has implied showing deficiencies in relation to the medical treatment of epilepsy and it has been possible to document the significant deterioration in most of the patients who present it (Loring, 1997). It is desired to establish with the neuropsychological evaluation, the neurocognitive functioning of the patient before, if possible during and after the surgical intervention that allows establishing a functional diagnosis about the processes that are preserved, which are recovered and which are affected to establish treatment plans. rehabilitation and intervention according to the conditions and needs of the patient. Objective: To evaluate the cognitive functioning of the patient diagnosed with refractory epilepsy, before and after surgery. Methodology: The neuropsychological deficits that it presents will be qualitatively evaluated, based on the syndromic analysis. We will work under the case study research design, with a qualitative clinical methodology.
Descripción
Palabras clave
Epilepsia, Convulsión, Epilepsia refractaria, Actividad paroxística, Memoria, Hipocampo, Actividad ictal, Actividad interictal, Epilepsy, Seizure, Refractory epilepsy, Paroxysmal activity, Memory, Hippocampus, Ictal activity, Interictal activity
