{"id":9668,"date":"2018-03-09T00:15:04","date_gmt":"2018-03-09T00:15:04","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/2018\/03\/09\/valor-predictivo-de-las-exploracones-prequirurgicas-en-la-epilepsia-parcial-refractaria\/"},"modified":"2018-03-09T00:15:04","modified_gmt":"2018-03-09T00:15:04","slug":"valor-predictivo-de-las-exploracones-prequirurgicas-en-la-epilepsia-parcial-refractaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valor-predictivo-de-las-exploracones-prequirurgicas-en-la-epilepsia-parcial-refractaria\/","title":{"rendered":"Valor predictivo de las exploracones prequirurgicas en la epilepsia parcial refractaria"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Merttxell Martinez Ferri <\/strong><\/h2>\n<p>La cirug\u00eda de la epilepsia tiene como objetivo resecar la regi\u00f3n cerebral que genera las crisis. El m\u00e9todo m\u00e1s fiable para localizar este generador es el registro eeg intracerebral (seeg).  analizamos el valor que la combinaci\u00f3n de distintas pruebas no invasivas (eeg interictal, eeg ictal, video\/eeg, pruebas psicom\u00e9tricas, amital intracarotideo, tac) tiene frente al registro intracerebral, y el valor de estas pruebas en relaci\u00f3n al resultado de la cirug\u00eda en 169 pacientes investigados entre los a\u00f1os 1974-1988 en le hospital notre-dame de montreal. Los resultados del an\u00e1lisis multivariado (mlrm) muestran:  1,- la presencia de aura y lateralizaci\u00f3n en el eeg ictal y la ausencia de descargas bilaterales y s\u00edncronas y historia familiar de epilepsia predice la localizaci\u00f3n seeg de las crisis; 100% de 32 pacientes con los cuatro factores, 91% de 44 pacientes con tres factores tienen estudios seeg localizados, 30% de los pacientes con baja probabilidad tienen estudios seeg localizados. la predicci\u00f3n de los fracasos de la seeg no es tan optima 54%.  2,- la combinaci\u00f3n eeg interictal temporal o fronto-temporal, lateralizaci\u00f3n del eeg ictal, ausencia de eeg multifocal permite identificar el 55% de las epilepsias unitemporales con una probabilidad de \u00e9xito del 75%. La probabilidad aumenta a un 94% si al modelo se a\u00f1ade la ausencia de descargas bilaterales, un coeficiente intelectual normal y lateralizaci\u00f3n en la prueba del amital.  3,- la localizaci\u00f3n deribada de los test psicom\u00e9tricos no es predictiva.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valor predictivo de las exploracones prequirurgicas en la epilepsia parcial refractaria<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valor predictivo de las exploracones prequirurgicas en la epilepsia parcial refractaria <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Merttxell Martinez Ferri <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 24\/02\/1995<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jaume Peres Serra<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: eduardo Tolosa sarr\u00f3 <\/li>\n<li>jordi Pe\u00f1a-casanova (vocal)<\/li>\n<li>montserrat Codina Francisco (vocal)<\/li>\n<li>fabian Isamai de la riva (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Merttxell Martinez Ferri La cirug\u00eda de la epilepsia tiene como objetivo resecar la regi\u00f3n cerebral que genera [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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