Epilepsy and Seizure News
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Comparative efficacy of first-line antiseizure monotherapy in pediatric focal epilepsy: An umbrella review of systematic reviews and meta-analyses -
CONCLUSIONS: Current umbrella-level evidence does not establish clear superiority of one first-line ASM over another for seizure control in pediatric focal epilepsy. Importantly, the absence of statistically significant differences should not be interpreted as evidence of therapeutic equivalence, because several estimates remain imprecise and clinically meaningful differences cannot be excluded...
Clinical efficacy and cost-effectiveness of epilepsy surgery in low- and middle-income countries: A systematic review and meta-analysis -
OBJECTIVE: To synthesize evidence on clinical outcomes, direct surgical costs, and cost-effectiveness of resective epilepsy surgery for drug-resistant epilepsy in low- and middle-income countries (LMICs).
Accuracy, Safety, and Workflow of Frameless Neuronavigation-Guided Stereoelectroencephalography in Drug-Resistant Epilepsy: A Single-Center Cohort Study -
CONCLUSION: Frameless neuronavigation-guided SEEG achieved reproducible millimetric accuracy, low morbidity, and efficient workflow in a consecutive real-world cohort. These findings support frameless neuronavigation as a safe and scalable option for invasive presurgical evaluation in DRE.
Neonatal-onset developmental and epileptic encephalopathy: High genetic yield and long-term outcomes in a multicenter southern European cohort -
OBJECTIVE: To determine the genetic diagnostic yield, characterize the clinical and genetic landscape, and evaluate long-term epilepsy, neurodevelopmental, and survival outcomes in a strictly defined cohort of neonatal-onset developmental and epileptic encephalopathy (DEE).
Unilateral Approach for Bilateral Posterior Cingulate Coverage in Stereoelectroencephalography: A Technical Note and Case Series -
CONCLUSION: We have shown that the unilateral transhemispheric approach for bilateral PCC SEEG is feasible to sample both sides. Importantly, the transfalcine approach used, and previously considered a relative contraindication, was performed safely and accurately in our series. We demonstrated the utility of sampling both ipsilateral and contralateral PCC to identify the epilepsy network. Thus...
Phenotypic comparison of idiopathic epilepsy in English Springer Spaniels and Cocker Spaniels using a validated owner-completed questionnaire -
In response to the recurring identification of medication-resistant idiopathic epilepsy (IE) in English Springer Spaniels (ESS), the objective of this retrospective questionnaire-based observational study was to delineate the phenotypic characteristics of IE in this breed in comparison to a cognate breed, the English Cocker Spaniel (ECS), employing a novel, validated, owner-completed multilingu...
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