{"id":1134,"date":"2018-10-31T17:17:59","date_gmt":"2018-10-31T15:17:59","guid":{"rendered":"https:\/\/epilepsiarussi.com\/blog\/?p=1134"},"modified":"2018-10-31T17:17:59","modified_gmt":"2018-10-31T15:17:59","slug":"diagnostico-para-cirugia-en-que-consiste-y-cuando-plantearselo","status":"publish","type":"post","link":"https:\/\/www.epilepsiarussi.com\/blog\/diagnostico-para-cirugia-en-que-consiste-y-cuando-plantearselo\/","title":{"rendered":"Diagn\u00f3stico para cirug\u00eda: en qu\u00e9 consiste y cu\u00e1ndo plante\u00e1rselo"},"content":{"rendered":"

\"imatge-pet\"<\/a><\/h2>\n

Cuando el paciente lleva m\u00e1s de siete f\u00e1rmacos probados sin \u00e9xito en el control de sus crisis, es momento de plantearse alternativas y la cirug\u00eda es una de ellas. <\/strong><\/h2>\n

Se considera clave este momento, a partir de siete f\u00e1rmacos, porqu\u00e9 es cuando las posibilidades de controlar la epilepsia con medicamentos se reducen m\u00e1s dr\u00e1sticamente y tienden a cero.<\/p>\n

\u00bfC\u00f3mo se valora si el paciente es apto para cirug\u00eda?<\/span><\/strong><\/h3>\n

Llegados a este punto, se realizan distintas pruebas m\u00e9dicas para poder valorar si el paciente tiene un buen pron\u00f3stico para la cirug\u00eda.<\/p>\n

    \n
  1. La historia cl\u00ednica es clave.<\/strong><\/li>\n<\/ol>\n

    Es importante en primer lugar estudiar la historia cl\u00ednica del paciente, <\/strong>saber el tipo de medicamentos probados, las caracter\u00edsticas y la frecuencia de crisis, el tiempo transcurrido entre crisis\u2026<\/p>\n

      \n
    1. Pruebas de imagen cerebral b\u00e1sicas<\/strong><\/li>\n<\/ol>\n

      Asimismo, el paciente se debe someter a una resonancia magn\u00e9tica cerebral<\/strong>, esto es b\u00e1sico para detectar si existe alguna malformaci\u00f3n vascular como posible causa de la epilepsia o descartar la presencia de alg\u00fan tumor.<\/p>\n

        \n
      1. Registro de la actividad el\u00e9ctrica cerebral<\/strong><\/li>\n<\/ol>\n

        Otra prueba m\u00e1s es el electroencefalograma (EEG) o v\u00eddeo-electroencefalograma (VEEG).<\/strong> \u00c9ste permitir\u00e1 registrar la actividad el\u00e9ctrica cerebral gracias a los electrodos colocados en la cabeza del paciente y en caso del VEEG, grabar simult\u00e1neamente sus reacciones durante las crisis. Puede ir desde una duraci\u00f3n corta o de un registro del sue\u00f1o (una noche) hasta el registro de varios d\u00edas.<\/p>\n

          \n
        1. El PET<\/strong><\/li>\n<\/ol>\n

          La realizaci\u00f3n de una prueba PET, Tomograf\u00eda de Emisi\u00f3n de Positrones<\/strong>, permite detectar si ha habido una disminuci\u00f3n del metabolismo en la regi\u00f3n del cerebro que puede estar relacionada con la epilepsia por disminuci\u00f3n de la captaci\u00f3n de glucosa en una zona cerebral. Esto ayuda a localizar la zona donde se producen las crisis. La prueba PET aporta mucha informaci\u00f3n al complementarse con la Resonancia Magn\u00e9tica, pues su alta sensibilidad permite identificar lesiones no estructurales\u00a0que la Resonancia Magn\u00e9tica a veces no detecta.<\/p>\n

          Con toda esta bater\u00eda de pruebas y gracias a los nuevos avances en cirug\u00eda, como es el Robot Stereot\u00e1ctico Renishaw Neuromate<\/strong><\/a>, <\/em>se puede intervenir al paciente de forma poco invasiva sin necesidad de abrir el cr\u00e1neo como se hac\u00eda anteriormente.<\/p>\n

          Como veis, con todo lo anteriormente expuesto, nuestra intenci\u00f3n es indicar que cada vez es m\u00e1s el amplio abanico de pruebas diagn\u00f3sticas de alta precisi\u00f3n que nos permiten determinar con una mayor precisi\u00f3n si una persona es apta para cirug\u00eda as\u00ed como las probabilidades de \u00e9xito antes de tomar la decisi\u00f3n de operarse.<\/p>\n","protected":false},"excerpt":{"rendered":"

          Cuando el paciente lleva m\u00e1s de siete f\u00e1rmacos probados sin \u00e9xito en el control de sus crisis, es momento de plantearse alternativas y la cirug\u00eda es una de ellas. Se considera clave este momento, a partir de siete f\u00e1rmacos, porqu\u00e9 … Sigue leyendo →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20],"tags":[225,320,79,2,178,179,81,85,180,195,189,177],"yoast_head":"\nDiagn\u00f3stico para cirug\u00eda: en qu\u00e9 consiste y cu\u00e1ndo plante\u00e1rselo — Viviendo con epilepsia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.epilepsiarussi.com\/blog\/diagnostico-para-cirugia-en-que-consiste-y-cuando-plantearselo\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diagn\u00f3stico para cirug\u00eda: en qu\u00e9 consiste y cu\u00e1ndo plante\u00e1rselo — Viviendo con epilepsia\" \/>\n<meta property=\"og:description\" content=\"Cuando el paciente lleva m\u00e1s de siete f\u00e1rmacos probados sin \u00e9xito en el control de sus crisis, es momento de plantearse alternativas y la cirug\u00eda es una de ellas. 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