Resumen

BENDER DEL BUSTO, Juan E et al. Evaluation of the quality of life in operated refractory epileptic patients. Rev haban cienc méd [online]. 2010, vol.9, n.4, pp. 569-575. ISSN 1729-519X.

Epilepsy affects 1-2 % of the population and 20 % of patients are chronic medically untreatable. 5-10 % are candidates to epilepsy surgery with favorable results in the quality of life and reduction of crisis. To evaluate the quality of life of patients with temporal lobe refractory epilepsy during presurgical evaluation and after surgical treatment with good outcome. It is a prospective, longitudinal and descriptive clinical study. Patients with refractory epilepsy were evaluated in a clinic during presurgical and postsurgical evaluation during the period between January 2002 and December 2007. Partial temporal lobotomy and transurgical electrocorticography were performed on 20 patients with criteria. A health quality test(QOLIE-31) was applied a month before, six and twelve months after lobotomy. Median score before the operation was of 26,5, six months after, this store increased to 89 and was maintained at 84 at the end of a year. Obtained results after surgery showed an increase in the indicators of the quality of life, accompanied with a reduction in the number of epileptic crisis. Paired evolution is needed (before and a year after surgery) of each one of the indicators considered efficacious for the global evaluation of the quality of life where statistic significant differences were detected in all the indicators. The quality of life increased considerably after the surgical procedure.

Palabras clave : Refractory epilepsy; quality of life; temporal lobectomy.

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