<?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>2304-0106</journal-id>
<journal-title><![CDATA[Anales de la Academia de Ciencias de Cuba]]></journal-title>
<abbrev-journal-title><![CDATA[Anales de la ACC]]></abbrev-journal-title>
<issn>2304-0106</issn>
<publisher>
<publisher-name><![CDATA[Academia de Ciencias de Cuba]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2304-01062021000100024</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estrategia para la evaluación y tratamiento quirúrgico de las epilepsias farmacorresistentes en Cuba]]></article-title>
<article-title xml:lang="en"><![CDATA[Cuban strategy for the evaluation and surgical treatment of pharmaco-resistant epilepsies]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Chacón]]></surname>
<given-names><![CDATA[Lilia María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Batista García-Ramo]]></surname>
<given-names><![CDATA[Karla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González González]]></surname>
<given-names><![CDATA[Judith]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bender del Busto]]></surname>
<given-names><![CDATA[Juan E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Báez Martin]]></surname>
<given-names><![CDATA[Margarita Minou]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estupiñán Díaz]]></surname>
<given-names><![CDATA[Barbara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lorigados Pedre]]></surname>
<given-names><![CDATA[Lourdes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quintanal Cordero]]></surname>
<given-names><![CDATA[Nelson]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garbey Fernández]]></surname>
<given-names><![CDATA[Randis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ríos Castillo]]></surname>
<given-names><![CDATA[Martha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zaldívar Bermúdez]]></surname>
<given-names><![CDATA[Marílyn]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Berrillo Batista]]></surname>
<given-names><![CDATA[Sheila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdez Sedeño]]></surname>
<given-names><![CDATA[Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galán García]]></surname>
<given-names><![CDATA[Lídice]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Internacional de Restauración Neurológica  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Investigaciones Médico Quirúrgicas  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro de Neurociencias de Cuba  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>11</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2304-01062021000100024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2304-01062021000100024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2304-01062021000100024&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El objetivo fue presentar los resultados del programa integral para la evaluación, y tratamiento quirúrgico de las epilepsias farmacorresistentes (EFR) en Cuba.  Métodos:  Se introduce una estrategia de evaluación prequirúrgica multimodal contemplando técnicas de videoelectroencefalograma (EEG) complementada con análisis espectral en el dominio del tiempo, la tomografía por emisión de fotón único SPECT realizado en estado interictal e ictal (bajo monitoreo de EEG) corregistrado con imágenes de resonancia magnética (SISCOM), así como métodos de localización de fuentes electromagnéticas, utilizando varios modelos estadísticos.  Resultados:  La estrategia desarrollada devenida en programa nacional, permitió identificar de forma no invasiva la zona epileptogénica (ZE) en pacientes con EFR no lesionales. La asimilación de las diferentes técnicas quirúrgicas utilizadas en el tratamiento de las EFR, guiadas por monitoreo secuencial con electrocorticografía intraoperatoria (ECoG), demostraron la asociación entre los patrones ECoG y las displasias corticales focales ligeras en pacientes con epilepsia del lóbulo temporal (ELT), no visualidades en las imágenes de resonancia magnética. En las ELT y extra temporales se logra 70,0 % y 52,6 % de libertad de crisis un año después de la cirugía respectivamente. Precisamos estabilidad evolutiva en el comportamiento de las crisis a partir del segundo año y hasta los catorce después de la cirugía en pacientes con ELT, asociado a disminución de la frecuencia de descarga absoluta de actividad epileptiforme en el EEG y a modificaciones en la composición de frecuencias del EEG. Conclusiones: Se confirma la factibilidad del programa de cirugía de epilepsia, avalándolo como opción terapéutica eficaz y segura en las epilepsias farmacorresistentes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The objective was to present the results of the first comprehensive epilepsy surgery program in Cuba.  Methods:  Video-electroencephalogram (EEG) complemented with a methodology that combines non-invasive functional modalities electroencephalography (EEG) and the subtraction of ictal and interictal single photon emission computed tomography (SPECT) co-registered with magnetic resonance imaging (SISCOM) was used to estimate the location of the epileptogenic zone. In addition, estimation of ictal EEG source imaging methods was also developed.  Results:  All the proposed methodology allowed for a non-invasive identification of the EZ in patients with non-lesional pharmacoresistant epilepsy. During epilepsy surgery, the intraoperative electrocorticography (ECoG) spike frequency allows for the characterization of the histopathological subtypes of mild cortical focal dysplasia in patients with Temporal Lobe Epilepsy (ELT). Pharmacoresistant temporal and extratemporal epilepsy operated patients were submitted to EEG and clinical follow-up assessment. Engel scores follow-up was described as follows: at 12 months 70,0 % class I, at 24 months after surgery 55,2 % of the patients were class I, These Engel class I &#64257;gures changed to 48,6 % &#64257;ve years following surgery, whereas 50 % maintained this condition in the last follow-up period (fourteen years). On the other hand, one year after extra temporal epilepsy surgery, 52,6 % of the patients were seizure free. Logit regression (p &lt; 0,05) revealed that six months after surgery, quantitative EEG can be a tool to predict the outcome of epilepsy surgery. An adequate social functioning was also found. Conclusion: Results confirm the feasibility of conducting a successful epilepsy surgery program with favorable long-term electroclinical and psychosocial functioning outcomes in a developing country as well.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[epilepsia farmacorresistente]]></kwd>
<kwd lng="es"><![CDATA[evaluación pre quirúrgica]]></kwd>
<kwd lng="es"><![CDATA[cirugía de epilepsia]]></kwd>
<kwd lng="es"><![CDATA[electrocorticografía]]></kwd>
<kwd lng="es"><![CDATA[evolución clínica]]></kwd>
<kwd lng="en"><![CDATA[pharmacoresistant epilepsy]]></kwd>
<kwd lng="en"><![CDATA[presurgical evaluation]]></kwd>
<kwd lng="en"><![CDATA[epilepsy surgery]]></kwd>
<kwd lng="en"><![CDATA[electrocorticography]]></kwd>
<kwd lng="en"><![CDATA[seizure outcome]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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