علاج الصرع مع النوبات البؤرية (الجزئية) لدى البالغين الذين تبلغ أعمارهم 60 عامًا وأكثر

References

• Seizure originating within networks limited to one hemisphere characterized by subjective (aura), motor, autonomic, and dyscognitive features
• Older adults (60 years and older)
• For patients with seizures that are not controlled with these agents, alternative treatments include surgical resection of the seizure focus, ketogenic diets, vagus nerve stimulators, and implantable brain neurostimulators.
• Surgical resection of the seizure focus in appropriately selected patients often results in decreased frequency or elimination of seizures with improvement in quality of life.
• The ketogenic diet, a high-fat, low-carbohydrate, and low-protein diet, induces ketone body formation.
• Vagus nerve stimulation may increase seizure-free time in patients with medically refractory epilepsy who are not candidates for surgery or in whom surgery has been ineffective.
• It is approved by the U.S. Food and Drug Administration for use in persons older than 12 years.
• Responsive neurostimulation is another approach to treating medically refractory partial-onset seizures.