Surgical Reporting Program

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Existing Surgery reports

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Patient IDYear of SurgerySurgery DetailsAge at Diagnosis (years)SexRaceEthnicityEtiologyStructural EtiologyEpilepsy TypeSeizure TypesSyndromePrevious Treatment Surgery? (including neuromodulation)Referred to Level 4Primary PayerType(s) of SurgeryIntracranial EEG DetailsNeurostimulation DetailsResection, Disconnection, Ablation DetailsType of Corpus CallostomyIntent of SurgeryLocation of treatment or targetPlanned Treatment SurgeryIntraoperative ECOGComplicationsPlease Describe Other ComplicationsAdditional CommentsDate Created
Patient IDYear of SurgerySurgery DetailsAge at Diagnosis (years)SexRaceEthnicityEtiologyStructural EtiologyEpilepsy TypeSeizure TypesSyndromePrevious Treatment Surgery? (including neuromodulation)Referred to Level 4Primary PayerType(s) of SurgeryIntracranial EEG DetailsNeurostimulation DetailsResection, Disconnection, Ablation DetailsType of Corpus CallostomyIntent of SurgeryLocation of treatment or targetPlanned Treatment SurgeryIntraoperative ECOGComplicationsPlease Describe Other ComplicationsAdditional CommentsDate Created

Level 4

Adult Epilepsy Center

Medical Director: Mohamed Shabana, MD

, MDMD

Co-Medical Director: Puneet Gupta, MD,

DO