<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1729-519X</journal-id>
<journal-title><![CDATA[Revista Habanera de Ciencias Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev haban cienc méd]]></abbrev-journal-title>
<issn>1729-519X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de la Habana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1729-519X2020000200009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Epilepsia farmacorresistente. Experiencia quirúrgica en el Instituto de Neurología y Neurocirugía (2012-2018)]]></article-title>
<article-title xml:lang="en"><![CDATA[Drug-resistant epilepsy. Experience with surgical treatment at the Institute of Neurology and Neurosurgery, Havana, Cuba (2012-2018)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Riascos Loboa]]></surname>
<given-names><![CDATA[John Henry]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dearriba Romanidy]]></surname>
<given-names><![CDATA[Manuel Ulises]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo Lara]]></surname>
<given-names><![CDATA[Gloria Esther]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lara Fernández]]></surname>
<given-names><![CDATA[Gloria Esther]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zarrabeitia Oviedo]]></surname>
<given-names><![CDATA[Luis Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Neurología y Neurocirugía &#8220;Profesor Dr. Rafael Estrada González&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>19</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2020000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2020000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2020000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La epilepsia es la alteración neurológica más frecuente en la población general. El objetivo de la cirugía de epilepsia es garantizar la ausencia o disminución de crisis, lo que se logra en el 80 % de los pacientes.  Objetivo:  Evaluar la evolución posquirúrgica y factores de buen pronóstico de los pacientes intervenidos de epilepsia farmacorresistente (EFR) en el Instituto de Neurología y Neurocirugía.  Material y Métodos:  Se realizó un estudio observacional descriptivo retro y prospectivo en el Instituto de Neurología y Neurocirugía entre enero de 2012 a mayo de 2018.  Resultados:  La edad del 44,8 % de los pacientes estuvo entre 21 y 30 años, el 62,1 % era del sexo masculino y el 82,8 % tenía color de piel blanca, el 31 % presentó entre 11 y 20 años de evolución. En el 75,9 % la epilepsia era lesional, el 55,2 % con localización temporal y en el 86,2 % se demostró congruencia clínica. Se utilizaron técnicas resectivas en 87,6 %. El 82,8 % no presentó crisis postoperatorias. En 62,1 % no se presentaron complicaciones. A los 3, 6 y 12 meses después de la intervención entre el 55 al 82 % de los pacientes estudiados se clasificaron como Engel clase I y clase II.  Conclusiones:  En nuestro estudio predominó la utilización de técnicas resectivas y la ausencia de crisis posterior a la cirugía. No se registró relación significativa entre la evolución posquirúrgica, la etiología de la epilepsia y la congruencia clínica. La presencia de lesión focal en el lóbulo temporal constituyó un factor de buen pronóstico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Epilepsy is the most frequent neurological alteration in the general population. The objective of epilepsy surgery is to guarantee the absence or the decrease of seizures which is achieved in 67 % and 80 % of patients.  Objective:  To evaluate the surgical outcome and the factors for good outcome in patients with drug-resistant epilepsy (DRE) who underwent surgical treatment at the Institute of Neurology and Neurosurgery.  Material and Methods:  A retrospective prospective observational study was conducted at the Institute of Neurology and Neurosurgery between January 2012 and May 2018.  Results:  Of all the patients studied, 44,8 % were between 21 and 30 years old, 62,1 % were male and 82,8 % were white. Also, 31 % were between 11 and 20 years of follow-up. Epilepsy was lesional in 75,9 % of patients whereas in 55,2 % of them it was located in the temporal lobe; clinical congruence was demonstrated in 86,2 % of patients. Resective techniques were used in 87,6 % of them. Besides, 82,8 % had no postoperative seizures. There were no complications in 62,1 % of patients. On the other hand, 55 and 82 % of the patients studied were classified as Engel Class I and Engel Class II at 3, 6 and 12 months after surgical intervention.  Conclusions:  The use of resective techniques and the absence of seizures after surgery predominated in our study. No significant relationship was found between surgical outcome, etiology of epilepsy and clinical congruence. The presence of a focal lesion of the temporal lobe was a factor for good outcome.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[epilepsia farmacorresistente]]></kwd>
<kwd lng="es"><![CDATA[cirugía epilepsia]]></kwd>
<kwd lng="es"><![CDATA[epilepsia]]></kwd>
<kwd lng="en"><![CDATA[drug-resistant epilepsy]]></kwd>
<kwd lng="en"><![CDATA[epilepsy surgery]]></kwd>
<kwd lng="en"><![CDATA[epilepsy]]></kwd>
</kwd-group>
</article-meta>
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