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Record W1999293285 · doi:10.3171/foc/2008/25/9/e1

Advances in the Management of Epilepsy

2008· article· en· W1999293285 on OpenAlexaff
James T. Rutka

Bibliographic record

VenueNeurosurgical FOCUS · 2008
Typearticle
Languageen
FieldMedicine
TopicEpilepsy research and treatment
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsEpilepsyTuberous sclerosisEpilepsy surgeryCorpus callosotomyMedicineIntractable epilepsyPopulationNeurosciencePsychologyPsychiatry

Abstract

fetched live from OpenAlex

PILEPSY remains one of the most common afflictions in humans, with a prevalence of about 1% in the general population.Since the advent of phenobarbital as a novel therapeutic agent for the prevention of seizures in patients in 1912, the medical and surgical treatments of epilepsy have advanced significantly.There were many early pioneers in epilepsy surgery, including Horsley, Keen, Nancred, and Sachs.1,4 We must remember that their surgical attack on epilepsy was practiced long before we became familiar with the structure and function of the central nervous system, and the fine histoarchitecture of the neuronal networks within the cerebral cortex.Of course, the work of Penfield 2,3 in the 1930s set the stage for the modern revolution of surgical techniques applied to the study of human epilepsy.In this special issue of Neurosurgical Focus, we have provided an update on the state-of-the-art management of epilepsy from both medical and surgical perspectives.We begin with a description of pharmacologically intractable epilepsy and proceed to a review of imaging strategies to identify neurosurgical candidates.It is becoming increasingly more apparent that neuroimaging is playing a pivotal role in our understanding of the causes of epilepsy in children and adults.We then review current techniques for temporal lobectomy, extratemporal cortical resections, corpus callosotomy, and treatment of hypothalamic hamartomas and tuberous sclerosis.The use of deep brain stimulation for epilepsy is discussed as a novel approach to the management of selected patients with intractable epilepsy.Recent adjuncts in the placement of intracranial electrodes, whether by use of neuronavigation or robotics, are described and can now be made widely accessible to most

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.004
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.010
Threshold uncertainty score0.032

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.004
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.001
Science and technology studies0.0010.001
Scholarly communication0.0020.002
Open science0.0010.001
Research integrity0.0020.004
Insufficient payload (model declined to judge)0.0100.004

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.027
GPT teacher head0.310
Teacher spread0.282 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2008
Admission routes1
Has abstractyes

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