🧠 دکتر محمدتقی فرزادفرد پنل کمیسیون صرع مقاوم به درمان تایید و ورود ⚠️ رمز عبور اشتباه! 🧠 DRE Commission V6.1 📂 Import 💾 Save 🖨️ Print Drug Resistant Epilepsy Commission Imam Reza Hospital — MUMS Drug Resistant Epilepsy Commission Imam Reza Hospital — Mashhad University of Medical Sciences 1 Patient Summary ▼ Full Name MR ID Age Session Date History & Semiology Clinical Notes 2 Anti-Seizure Medications (ASMs) ▼ ✅ Current Medications Drug Dose Freq/day Carbamazepine Oxcarbazepine Eslicarbazepine Lamotrigine Valproate Levetiracetam Lacosamide Topiramate Zonisamide Perampanel Phenytoin Phenobarbital Clonazepam Clobazam Gabapentin Pregabalin Vigabatrin Ethosuximide Rufinamide Felbamate Brivaracetam Cannabidiol Cenobamate Stiripentol ❌ Previously Failed ASMs Drug Max Dose Reason Stopped Carbamazepine Oxcarbazepine Eslicarbazepine Lamotrigine Valproate Levetiracetam Lacosamide Topiramate Zonisamide Perampanel Phenytoin Phenobarbital Clonazepam Clobazam Gabapentin Pregabalin Vigabatrin Ethosuximide Rufinamide Felbamate Brivaracetam Cannabidiol Cenobamate Stiripentol Medication Notes 3 Diagnostic Data Review ▼ 🧲 MRI Primary Finding Normal MTS — Right MTS — Left MTS — Bilateral FCD Type I FCD Type II FCD Type III Tumor / Lesion Vascular Malformation Encephalomalacia Polymicrogyria Heterotopia Other Description 📊 Video-EEG / LTM Interictal Ictal Pattern Localization 🔬 Advanced Tests PET Scan SPECT (ictal) fMRI / DTI Neuropsychology WADA Test Invasive EEG 4 Concordance & Epileptogenic Zone ▼ Data Concordance Clinical ↔ EEG EEG ↔ MRI EEG ↔ PET PET ↔ MRI SPECT ↔ EEG ⚠️ Discordant Notes Epileptogenic Zone — Select — Right Mesial Temporal Left Mesial Temporal Right Neocortical Temporal Left Neocortical Temporal Right Frontal Left Frontal Right Parietal Left Parietal Right Occipital Left Occipital Multilobar Hemispheric Generalized Not Localized Confidence — Select — High (≥80%) Moderate (50–80%) Low (<50%) Non-localizable EZ Discussion 5 Commission Decision & Plan ▼ Surgical Candidate? No Yes — Resective Yes — Palliative Needs Invasive Monitoring Re-evaluation Needed Procedure Type None / Medical ATL SAH Lesionectomy Hemispherotomy Corpus Callosotomy MST VNS RNS DBS SEEG Diet / Neuromodulation None Ketogenic Diet Modified Atkins Low Glycemic Index Detailed Plan & Recommendations 6 Attendees & Signatures ▼ Dr. Farzadfard Sign: Dr. Abouei Sign: Dr. Rezaeitalab Sign: Dr. Hoseinpour Sign: Dr. Maftouh Sign: Dr. Baghestani Sign: Others Sign: Other Names
