Epilepsy surgery in children: from a multidisciplinary network to the creation of an expertise and care centre

Neuro-Chirurgie
A ArzimanoglouC Sainte-Rose

Abstract

We report on the experience of a network created in 1994 to evaluate children with drug-resistant epilepsies who are candidates for surgical treatment. The network includes epilepsy units from several university hospitals in France that decided to share not only their clinical expertise to better respond to the need for a multidisciplinary approach of epilepsy surgery in children, but also all the technical and human resources available in the various teams. This mode of operation has certainly provided concrete proof of its efficacy since it undoubtedly facilitated, and even accelerated, access to optimal presurgical evaluation and epilepsy surgery for hundreds of children. However, after 10 years of this very enriching practice it became evident that our approach was certainly necessary but not sufficient. It is estimated that every year in France nearly 500 children are candidates for surgical treatment, and following a presurgical evaluation, 50% of them could be operated on. Today, only 150-200 children have access to a presurgical evaluation every year. This is a highly paradoxical situation since, even if the human suffering component that such a situation generates is set aside, the direct and indirect life-time costs f...Continue Reading

References

May 1, 1999·Journal of Neurosurgery·M BourgeoisJ Aicardi
Nov 30, 2000·Neurology·A A ArzimanoglouT Rasmussen
May 20, 2003·Epilepsia·Kristina MalmgrenUNKNOWN ILAE Commission of European Affairs, Subcommission on European Guidelines
Jan 20, 2007·Journal of Neurosurgery·Marie BourgeoisChristian Sainte-Rose
Jan 24, 2007·Epilepsia·Francesca CormackTorsten Baldeweg
May 9, 2007·Epilepsia·Deepak MadhavanOrrin Devinsky
Nov 29, 2007·Epilepsia·A Simon HarveyUNKNOWN ILAE Pediatric Epilepsy Surgery Survey Taskforce

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Citations

Sep 3, 2005·Neurobiology of Disease·Minnamaija LintunenPertti Panula

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