86331. |
- Malmgren, Kristina, 1952, et al.
(författare)
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Subjective experiences of epilepsy surgery in adults
- 2015
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Ingår i: Long-Term Outcomes of Epilepsy Surgery in Adults and Children. - Cham : Springer. - 9783319177830 ; , s. 209-224
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Bokkapitel (refereegranskat)abstract
- This chapter reviews the limited literature on patients’ subjective expectations and experiences of epilepsy surgery. Patients with drug-resistant epilepsy have widespread fears and misconceptions about epilepsy surgery and often see it as a “last resort.” Their expectations of epilepsy surgery include driving, employment, greater independence, and a better social life, as well as less likely changes such as improved memory and cognition. Patients with more practical expectations have been shown to be more likely to consider surgery a success. Certain gender and racial differences have also emerged in a few studies. Adjustment to life after surgery, especially the need to discard the sick role for those who become seizure-free, has been shown to take several years. Studies of patient-perceived memory changes after temporal lobe resection (TLR) fail to show signifi cant relationships between subjective and objective postoperative memory function. Perceived sexual changes after TLR include improvement in sexuality in those seizure-free but also hypersexuality in some. Patients’ perceptions of recurrence of seizures after epilepsy surgery are dominated by psychological issues (perceived loss of self-control, reduced self-confidence, day-to-day stress, and altered expectations for the future) but are also related to the presence of seizure improvement. While the majority of patients report satisfaction after epilepsy surgery, how this should be interpreted is not entirely clear, with a focus on dissatisfaction potentially providing more information. There are as yet no published studies of patient experiences with a follow-up of more than 2 years. In one recent preliminary report with a mean follow-up of 13 years, long-term perceptions of the impact of epilepsy surgery in principle equaled the perceptions at the 2-year follow-up. Further studies of patients’ long-term experiences after epilepsy surgery are needed. © Springer International Publishing Switzerland 2015.
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86332. |
- Malmgren, Kristina, 1952, et al.
(författare)
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Why a volume on long-term outcomes of epilepsy surgery?
- 2015
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Ingår i: Long-Term Outcomes of Epilepsy Surgery in Adults and Children. - Cham : Springer. - 9783319177830 ; , s. 1-4
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Bokkapitel (refereegranskat)abstract
- Epilepsy surgery is a recognized option in the management of adults and children with drug-resistant epilepsy. Magnetic resonance imaging has increased the number of candidates by determining focal structural brain abnormalities not previously apparent. Advances in other techniques have widened the spectrum of surgical candidates both in adults and children. In the short term, rates of seizure freedom are relatively high, but seizure recurrence can still occur in the long term. There are methodological hurdles to overcome when assessing longer-term outcome. There are also the outcomes beyond seizures-cognition, neurodevelopment, academic and vocational outcomes, and quality of life-which are of importance when determining whether a treatment is benefi cial. The aim of this volume is to focus on longer-term outcomes from epilepsy surgery in both adults and children. © Springer International Publishing Switzerland 2015.
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86333. |
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86334. |
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86335. |
- Malmgren, Sven-Göran, 1943
(författare)
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14 år med LexicoNordica
- 2008
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Ingår i: "Vi ska alla vara välkomna!" Nordiska studier tillägnade Kristinn Jóhannesson. - Göteborg. ; , s. 209-216
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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86336. |
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86337. |
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86338. |
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86339. |
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86340. |
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