Epilepsy surgery education and practice around the globe: An ILAE taskforce report.

Journal: Epilepsia

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Affiliated Institutions:  Division of Neurosurgery, Department of Surgery, University of Cape Town and Red Cross War Memorial Children's Hospital, Cape Town, South Africa. Department of Neurosurgery and Department of Pediatrics, Maria Fareri Children's Hospital, Westchester Medical Center, Valhalla, New York, USA. Department of Neurosurgery and Beijing key Laboratory of Epilepsy, Epilepsy Center, Sanbo Brain Hospital, Capital Medical University, Beijing, China. Department of Neurosurgery, Hospital Universitaìrio Cajuru, Curitiba, Brazil. Department of Neurological Surgery, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA. Department of Neurosurgery, Comprehensive Epilepsy Center, School of Medicine, Yale University, Yale-New Haven Hospital, New Haven, Connecticut, USA. Neuroscience Center, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. Department of Neurosurgery and The Sahlgrenska Academy, Sahlgrenska University Hospital, Gothenburg, Sweden. Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA. Department of Neurosurgery and Comprehensive Center for Clinical Neurosciences and Mental Health, Medical University of Vienna, Vienna, Austria. Department of Neurological Surgery and Department of Biomedical Engineering, Vanderbilt University Medical Center, Nashville, Tennessee, USA. Department of Neurosurgery, Epilepsy Surgery Program, Cliìnica Cukiert, São Paulo, Brazil.

Abstract summary 

Up to 80% of the world's population with epilepsy lives in low and middle-income countries. Around one-third of these patients will have drug-resistant epilepsy, for which epilepsy surgery is an option. Unfortunately, many of these regions, as well as some more developed nations, lack sufficient epilepsy surgery units and trained neurosurgeons. With this in mind, the International League Against Epilepsy (ILAE) formed the Epilepsy Surgery Education Taskforce to address the shortage of further educational opportunities for surgeons and neurologists and to promote the creation of more epilepsy surgery units around the world. In this article, we publish our findings from a web-based international survey, in which we investigated the global distribution and experience of neurosurgeons who perform epilepsy surgery, their educational paths, and opinions on the further need for epilepsy surgery education, as well as the resources available to them. We report a detailed analysis of the 202 survey replies received from 35 different countries across six continents. The lack of adequate numbers of epilepsy surgery units in the Southern Hemisphere is notable, and the aim of this task force with other ILAE committees, is to improve access to epilepsy surgery for patients and to enhance training for their health care providers.

Authors & Co-authors:  Nico Enslin Johannes M JM Muh Carrie R CR Wang Xiongfei X von Hertwig Fernandes de Olivera Tatiana T McKhann Guy M GM Damisah Eyiyemisi E Al-Otaibi Faisal F Rydenhag Bertil B Ali Rushna P RP Dorfer Christian C Englot Dario J DJ Cukiert Arthur A

Study Outcome 

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Statistics
Citations :  Panteliadis C. Historical sources on epilepsy surgery: from antiquity through the end 20th century. The Open Neurology Journal. 2021;15:52–58. https://doi.org/10.2174/1874205X02115010052
Authors :  13
Identifiers
Doi : 10.1111/epi.18199
SSN : 1528-1167
Study Population
Male,Female
Mesh Terms
Other Terms
epilepsy surgery education;epilepsy surgery fellowship;epilepsy surgery training;global need
Study Design
Study Approach
Country of Study
Publication Country
United States