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Intractable Focal Epilepsy
edited by John M. Oxbury, Charles E. Polkey, and Michael Duchowny,
878 pp, ill, London, UK, WB Saunders, 2000, $225
This large, multiauthored text reviews in detail nearly all aspects of current diagnosis and therapy of medically resistant localization-related (“focal” or “partial”) epilepsies. The editors clearly state that this volume is aimed at readers who are about to develop a comprehensive epilepsy center. The predominantly British authorship and emphasis on standard practice distinguish this volume from numerous other books that cover the same ground; many of these other works have a more American or international point of view on epilepsy care, or a greater emphasis on areas of controversy or problems that are subjects of active research.
Initial chapters on epilepsy classification and epidemiology precede four sections that constitute the bulk of this volume, followed by a brief section on healthcare economics. The first section covers semiology, classed mainly by lobe of seizure origin, and etiology, in which neuropathology receives the greatest attention. The second section addresses diagnosis, with chapters on various forms of brain imaging, extracranial and intracranial EEG, magnetoencephalography, psychometrics, and neuropsychiatric evaluation. The third section covers use of medications and the ketogenic diet. The extensive fourth section moves from presurgical evaluation through surgical procedures and concludes with surgical outcome. Therapy of these difficult epilepsies requires an interactive, multidisciplinary team, which commands a diverse array of highly specialized diagnostic techniques and therapies, adapted to adults and to children.
Comprehensive coverage of these diverse topics is enhanced by the Key …
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