Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1392
10
1
gregorian
2014
1
1
28
1
online
1
fulltext
en
Management of Epilepsy in Resource-Limited Areas: Establishing an Epilepsy Surgery Program in Iran
Neurosurgery
Neurosurgery
Review Article
Review Article
<font size="2" face="TimesNewRoman"><font size="2" face="TimesNewRoman"><p align="left">Of about 40 million people with epilepsy, who live in developing countries, the majority do not</p><p align="left">receive appropriate treatment. Nonetheless, there are striking disparities among the so-called developing countries,</p><p align="left">however generally speaking, access to and availability of epilepsy management programs in developing</p><p align="left">countries are very limited and therefore, the issue of developing epilepsy centers in resource-limited settings in a</p><p align="left">large scale is very essential. The surgery for epilepsy, including temporal lobotomy, lesionectomy and corpus</p><p align="left">colostomy, for patients with medically-refractory seizures, defined as failure of adequate trials of two tolerated,</p><p align="left">appropriately chosen and using antiepileptic drug to achieve sustained freedom, from seizure has been proved to</p><p align="left">be feasible and cost-effective in developing countries. However, the success of epilepsy surgery depends upon</p><p align="left">the accurate identification of good surgical candidates based on the available resources and technologies without</p><p align="left">jeopardizing safety. In the current paper, we will share our experiences of establishing an epilepsy surgery program</p><p align="left">in Iran, despite all short-comings and limitations and try to provide some answers to those challenges,</p><p>which helped us establish our program.</p></font></font>
Epilepsy surgery, Developing country, Limited resources, Iran.
150
155
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-653&slc_lang=en&sid=1
Ali A
Asadi-Pooya
aliasadipooya@yahoo.com
200319475328460012928
200319475328460012928
Yes
Neurosciences Research Center, Department of Neurology, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran, &Jefferson Comprehensive Epilepsy Center, Department of Neurology, Thomas Jefferson University, Philadelphia, USA.
Nahid
Ashjazadeh
nahidashjazadeh@yahoo.com
200319475328460012929
200319475328460012929
No
Neurosciences Research Center, Department of Neurology, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Ahmad
Kamgarpour
bagherih@sums.ac.ir
200319475328460012930
200319475328460012930
No
Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Mousa
Taghipour
m_farazdaghi@yahoo.com
200319475328460012931
200319475328460012931
No
Neurosciences Research Center, and Department of Neurosurgery, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Seyed Mohamad
Rakei
sinaloo@sums.ac.ir
200319475328460012932
200319475328460012932
No
Department of Neurosurgery, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Mohsen
Farazdaghi
. a.kamgarpour@gmail.com
200319475328460012933
200319475328460012933
No
Department of Neurology, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Soroor
Inaloo
rakeim@sums.ac.ir
200319475328460012934
200319475328460012934
No
Neonatal Research Center, and Department of Pediatrics, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Mohammad Hadi
Bagheri
ali.razmkon@gmail.com
200319475328460012935
200319475328460012935
No
Medical Imaging Research Center, and Department of Radiology, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Ali
Razmkon
taghipom@sums.ac.ir
200319475328460012936
200319475328460012936
No
Neurosciences Research Center, and Department of Neurosurgery, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Zahra
Zare
zzare@sums.ac.ir
200319475328460012937
200319475328460012937
No
Department of Radiology, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.