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
Thieme Medical and Scientific Publishers Private Ltd.

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


    No conflict of interest has been declared by the author(s).