Surgical treatment of focal epilepsy in children: results in 37 patients

Pediatric Neurosurgery
J W BizziC Ault

Abstract

This report concerns 37 children and teenagers operated upon for intractable seizures between 1990 and 1994. Follow-up is at least 3 years. Fourteen children underwent pure temporal lobe resections; 71% are seizure free, and 93% have a better than 90% decrease in seizure frequency. The presence of a lesion on magnetic resonance imaging, the side of the lesion, or the presence of abnormal pathology had no influence on the result of resection. 28% of the children who had extratemporal resections are seizure free, and 83% have a greater than 90% decrease in seizure frequency. There was a trend to better results in those with a lesion on magnetic resonance imaging. In the small group with temporal plus extratemporal foci, the results were poor with only 60% showing a greater than 90% reduction in seizure frequency.

Citations

Jun 27, 2008·Current Treatment Options in Neurology·José F Téllez-Zenteno, Samuel Wiebe
Jun 19, 2013·Journal of Neurosurgery. Pediatrics·Dario J EnglotKurtis I Auguste
Jun 19, 2013·Journal of Neurosurgery. Pediatrics·Dario J EnglotKurtis I Auguste
Jan 11, 2011·Pediatric Neurology·Anita N DattaD Barry Sinclair
Nov 10, 2013·Epilepsy & Behavior : E&B·Gerd ViggedalPaul Uvebrant
Mar 11, 2005·Brain : a Journal of Neurology·José F Téllez-ZentenoSamuel Wiebe
Apr 19, 2018·Neurosurgery·D Ryan OrmondAlexander Grote

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