CC BY-NC-ND 4.0 · International Journal of Epilepsy 2016; 03(02): 106-107
DOI: 10.1016/S2213-6320(16)30104-X
Multiple Choice Question
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Multiple Choice Question on Epilepsy Surgery (Correct Answer is in Bold and Underlined)

P. Sarat Chandra
1  Professor, Dept. of Neurosurgery, All India Institute of Medical Sciences, New Delhi
› Author Affiliations
Further Information

Publication History

Publication Date:
06 May 2018 (online)

  
  • Q.1 If the patient has failed 2 drugs in their appropriate combination and dosage, the likely chance of the third drug to control epilepsy would be

    • A) <5%

    • B) 10–20%

    • C) 20–30%

    • D) 40–50%

  • Q.2 Which of the following facts about drug resistant epilepsy (DRE) in NOT true?

    • A) DRE occurs as a result of long standing acquired drug resistance

    • B) DRE is do novo and can be identified early in the course of disease

    • C) DRE may be suspected when the response to first drug fails

    • D) The only viable option for DRE is epilepsy surgery

  • Q.3 Which of the following is NOT true about epilepsy surgery?

    • A) This is a surgery performed primarily for curing/controlling drug resistant epilepsy

    • B) MRI has to show a lesion for the surgery to be successful

    • C) Multi-modal imaging clearly identifies the epileptogenic networks

    • D) The 10 year seizure free outcome for mesial temporal sclerosis ranges from 50–60%

  • Q.4 Which of the following is NOT a curative surgery?

    • A) Hemispherotomy

    • B) Multiple sub-pial transection

    • C) TPO disconnection

    • D) Lesionectomy

  • Q.5 Which of the following is NOT true about hippocampal sclerosis surgery?

    • A) Recent meta-analysis has shown better outcome for a standard temporal lobectomy combined with amygdalo-hippocampectomy when compared to selective amygdalo-hippocampectomy

    • B) Hippocampus has to be resected upto the level of superior colliculus to ensure better outcomes

    • C) Both dorsal and ventral amygdala has to be excised to ensure a seizure free outcome

    • D) The adjacent structures like entero-rhinal cortex, uncus, para-hippocampal cortex also has to be excised

  • Q.6 Which of the facts in NOT true about hemispherotomy?

    • A) Functional hemispherotomy was first described by Rasmussen

    • B) There are basically 2 techniques for hemispherotomy- per-insular and vertical trans-cortical

    • C) Hemispherotomy provides one the best outcomes in epilepsy surgery

    • D) The chief reason that the anatomical hemispherectomy was given up was due to post operative hydrocephalus

  • Q.7 Which of the following is the most relevant indication for corpus callosotomy?

    • A) Lenox-Gestaut with drop attacks

    • B) DRE without any localization

    • C) Infantile spasms

    • D) Myoclonic jerks

  • Q.8 Which of the following is NOT true about surgical aspect of focal cortical dysplasia?

    • A) Electro corticography is useful for localization and resection

    • B) Trans mantle sign is found in Type I Palmini

    • C) FCD may be associated with certain tumors

    • D) Hemi-megelencephaly is a very severe form of FCD

  • Q.9 Which of the following is NOT true about vagal nerve stimulation?

    • A) VNS should be treated like another drug

    • B) VNS leads to about 50% seizure free outcome in about 50% of cases

    • C) VNS has similar indications as for copuscallosotomy

    • D) VNS may be also indicated in certain lesional cases

  • Q.10 Which of the following is NOT true about SEEG?

    • A) It may be performed using both a robotic device and standard stereotactic frame even the former is more convenient

    • B) Has lesser morbidity than standard depth electrodes

    • C) Is performed using a burrhole

    • D) Since it is fitted using an anchor bolt, may be explanted easily