Caracterización clínica y perfil cognitivo pre y post cirugía de epilepsia farmaco-resistente

introduction: epilepsy is a common disorder worldwide. 80% is controlled with medication, but 20 to 40% of cases, are drug-resistant epilepsy. 40% of these cases originate in the temporal lobe and 20% in the frontal lobe. the most common cause is temporal lobe epilepsy and surgery is an alternative treatment. objetive: describe the clinical characteristics and changes in neuropsychological tests before and after surgery drug-resistant epilepsy. materials and methods: descriptive study in a series of 38 patients with two clinical and neuropsychological assessments (pre and post) to the surgery. results: 73.7% (28/38) had mesial temporal sclerosis and 13.2% definite signs of mesial temporal sclerosis, both by mri report. the most common epileptogenic zone was temporary (97.3%), reaching 37.8% on the right side, 32.4% bitemporal and 29.7% on the left side. there is maintenance of cognitive function before and after surgery. conclusion: the drug-resistant epilepsy surgery is in itself a technique of neuro rehabilitation; removing the structural or functional deficit, providing an effective response to remediable epileptic syndromes, in which the preservation of cognitive function must be goal and result.