Surgical Reporting Program
| Patient ID | Year of Surgery | Surgery Details | Age at Diagnosis (years) | Sex | Race | Ethnicity | Etiology | Structural Etiology | Epilepsy Type | Seizure Types | Syndrome | Previous Treatment Surgery? (including neuromodulation) | Referred to Level 4 | Primary Payer | Type(s) of Surgery | Intracranial EEG Details | Neurostimulation Details | Resection, Disconnection, Ablation Details | Type of Corpus Callostomy | Intent of Surgery | Location of treatment or target | Planned Treatment Surgery | Intraoperative ECOG | Complications | Please Describe Other Complications | Additional Comments | Date Created | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Patient ID | Year of Surgery | Surgery Details | Age at Diagnosis (years) | Sex | Race | Ethnicity | Etiology | Structural Etiology | Epilepsy Type | Seizure Types | Syndrome | Previous Treatment Surgery? (including neuromodulation) | Referred to Level 4 | Primary Payer | Type(s) of Surgery | Intracranial EEG Details | Neurostimulation Details | Resection, Disconnection, Ablation Details | Type of Corpus Callostomy | Intent of Surgery | Location of treatment or target | Planned Treatment Surgery | Intraoperative ECOG | Complications | Please Describe Other Complications | Additional Comments | Date Created |
Level 4
Adult Epilepsy Center
Medical Director: Aashit Shah
, MDMD
Co-Medical Director: Mark Witcher,
MD, PhD
