The nurse is caring for a patient with a seizure disorder who is scheduled for surgery to remove the epileptogenic focus within the cerebral cortex. The nurse realizes that this patient must have met which criteria to have this type of surgery planned?
Select all that apply.
1. The patient desires to have a family.
2. There is one focal point located within the patient's brain.
3. The patient cannot afford antiseizure medication prescribed.
4. Medications have not been successful to control seizure activity.
5. The patient is unable to hold a full-time job because of seizure activity.
Correct Answer: 2, 4, 5
Resective surgery, with removal of the epileptogenic focus, is an option for patients whose seizures are not well controlled with AEDs. Candidates for this type of surgery include those who are unresponsive to medical management, who have a unilateral focus, and who have impaired quality of life from seizures. Family planning and the cost for the medication are not reasons to have elective surgery to remove the epileptogenic focus.
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