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Psychiatric disorders as predictors of epilepsy surgery outcome

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dc.contributor.authorNovais, Filipa
dc.contributor.authorPestana, Luís Câmara
dc.contributor.authorLoureiro, Susana
dc.contributor.authorAndrea, Mafalda
dc.contributor.authorFigueira, Maria Luísa
dc.contributor.authorPimentel, José
dc.date.accessioned2021-02-01T18:00:06Z
dc.date.available2021-02-01T18:00:06Z
dc.date.issued2019
dc.description© 2019 Elsevier Inc. All rights reservedpt_PT
dc.description.abstractObjectives: Our aim was to determine if a history of a mental disorder predicts a worst neurological outcome for patients undergoing epilepsy surgery. Methods: We conducted an ambispective observational study including people with refractory epilepsy who underwent resective surgery. Demographic, psychiatric, and neurological data were collected, before and one year after surgery. Presurgical interviews included a psychiatric evaluation and the determination of prevalent and lifetime psychiatric diagnosis. The one-year postsurgical outcome was classified according to the Engel Outcome Scale. Predictors of postsurgical Engel class were determined using an ordered logistic regression model. Results: A lifetime history of any mental disorder was a significant predictor of a higher Engel Class (p = 0.017). Conclusion: This study shows that psychiatric lifetime diagnoses are associated with worse surgical outcome and highlighted the importance of the inclusion of these diagnoses in the evaluation of the potential success of the surgery.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEpilepsy Behav. 2019 Nov;100(Pt A):106513pt_PT
dc.identifier.doi10.1016/j.yebeh.2019.106513pt_PT
dc.identifier.eissn1525-5069
dc.identifier.issn1525-5050
dc.identifier.urihttp://hdl.handle.net/10451/46104
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/journal/epilepsy-and-behaviorpt_PT
dc.subjectRefractory epilepsypt_PT
dc.subjectEpilepsy surgerypt_PT
dc.subjectOutcomept_PT
dc.subjectPsychiatric disorderspt_PT
dc.titlePsychiatric disorders as predictors of epilepsy surgery outcomept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issuePt Apt_PT
oaire.citation.startPage106513pt_PT
oaire.citation.titleEpilepsy & Behaviorpt_PT
oaire.citation.volume100pt_PT
person.familyNameNovais
person.familyNameFigueira
person.givenNameFilipa
person.givenNameMaria Luisa
person.identifier.ciencia-idB911-F326-8562
person.identifier.ciencia-id4018-A916-81EC
person.identifier.orcid0000-0001-9379-1734
person.identifier.orcid0000-0002-7921-5375
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication6d745e5f-965c-43ae-a418-f532bf9d4985
relation.isAuthorOfPublicationdd3c81c3-e160-4582-ba61-0c7d9548cf43
relation.isAuthorOfPublication.latestForDiscoverydd3c81c3-e160-4582-ba61-0c7d9548cf43

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