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Date. Epilepsy Surgery Conference. Patient: DOB: MRN: Attending: Referring Physician:. Clinical History. <xx> yr old RH/LH male/female with refractory epilepsy Onset: Frequency: Duration: Longest seizure free: Status:. Semiology. Preictal features / Aura Ictus Postictal features.
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Date Epilepsy Surgery Conference Patient: DOB: MRN: Attending: Referring Physician:
Clinical History • <xx> yr old RH/LH male/female with refractory epilepsy • Onset: • Frequency: • Duration: • Longest seizure free: • Status:
Semiology • Preictal features / Aura • Ictus • Postictal features
Medication and Treatment History • Currently Meds • Previous meds
Medical History • Birth: Normal • PMH: Normal • PSH: None • Development: Normal • Family history: Normal • Social History: None relevant
Exam • General exam • Normal • Neurologic exam • Normal
Video EEG • Interictal: • Ictal:
Summary Summary Summary CNS Laterality
Discussion • Plan • Expectation of cure: • Risks: • Eloquent cortex: • Permanent injury: • Death:
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 1 2 3 1 2 3 4 5 4 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Anticipated Surgical Plan • Grid 1 1 2 3 4 5 6 7 8 2 9 10 11 12 13 14 15 16 3 17 18 19 20 21 22 23 24 4 25 26 27 28 29 30 31 32 5 33 34 35 36 37 38 39 40 6 41 42 43 44 45 46 47 48 7 49 50 51 52 53 54 55 56 8 57 58 59 60 61 62 63 64
____________________________Colin Nguyen, M.D.Clinical Neurophysiology Resident ____________________________Ian Miller, M.D.Clinical Neurophysiology Resident ____________________________Michael Duchowny, M.D.Director, EEG Laboratories & Seizure Unit ____________________________Trevor Resnick, M.D.Director, Department of Neurology