Fong, Michael W. K. and Lim, Kheng-Seang and Fong, Si Lei and Chen, Chien and Kwan, Shang-Yeong and Lee, Cheng-Chia and Suwanpakdee, Piradee and Nagangchang, Charcrin and Le, Minh-An Thuy and Khine, Yee-Mon and Gill, Deepak and Wong, Chong H. (2025) The development of Stereo-Electroencephalography (SEEG) in Southeast Asia and Oceania: Challenges to equity across the region. Clinical Neurophysiology, 55 (1). p. 103033. ISSN 0987-7053, DOI https://doi.org/10.1016/j.neucli.2024.103033.
Full text not available from this repository.Abstract
Background: Invasive/ intracranial EEG forms an important component of assessment for epilepsy surgery in many patients with Drug-Resistant Epilepsy (DRE). Intracranial EEG has been poorly utilized though Southeast Asia (SEA) and Oceania. This study aimed to document the development of stereo-EEG (SEEG) across the region and highlight regional barriers to utilization and access. Methods: A survey was developed by multicenter consensus. The survey captured institutional characteristics, geographic distributions, intracranial EEG utilization, and barriers to SEEG. Respondents were representative epilepsy centers across the region. Results: Four epilepsy centers with established intracranial/ SEEG and two centers from a country without any access to SEEG participated. The responses identified that 1. Access to SEEG remained highly restricted across the region with an estimated one capable epilepsy center per 100 million people; 2. The region includes over half a billion people living in countries with no access to SEEG; 3. Staffing/ financial constraints were universal factors that limited growth of services or development of new services; 4. SEEG numbers have plateaued as a result of these challenges. Conclusion: The study puts into real numbers the challenges faced by the region in accessing SEEG. SEEG remains highly underutilized and future approaches should focus on regional training and referral pathways.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | Stereo-electroencephalography; Southeast Asia; Oceania; Equality |
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 20 Mar 2025 03:34 |
| Last Modified: | 20 Mar 2025 03:34 |
| URI: | http://eprints.um.edu.my/id/eprint/47222 |
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