Role of surgery in pediatric epilepsy.

Détails

ID Serval
serval:BIB_6AF9F90FE970
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Role of surgery in pediatric epilepsy.
Périodique
Indian Pediatrics
Auteur⸱e⸱s
Daniel R.T., Thomas S.G., Thomas M.
ISSN
0019-6061 (Print)
ISSN-L
0019-6061
Statut éditorial
Publié
Date de publication
2007
Volume
44
Numéro
4
Pages
263-273
Langue
anglais
Notes
Publication types: Journal Article ; Review
Résumé
Twenty five percent of patients with intractable epilepsy have surgically remediable epilepsy syndromes. This article reviews the treatment paradigm for pediatric epilepsy and also the indications, methods, and surgical options for the subgroup of patients with surgically remediable epileptic disorders based on our experience in the management of these children. The article also discusses the rationale for offering surgery and the timing of surgery in these patients. The study of surgically remediable epilepsy can best be divided into focal, sub hemispheric, hemispheric and multifocal epileptic syndromes. These syndromes have both acquired and congenital etiologies and can be treated by resective or disconnective surgery. The surgical management of these conditions (with the exception of multifocal epilepsy) provides Engel's Class 1 outcome(complete seizure freedom) in approximately 80% of children. The consequences of seizure freedom leads to a marked improvement in the quality of life of these children. The benefits to society, of allowing a child to grow to adulthood with normal cognition to earn a livelihood and contribute actively to society, cannot be understated.
Mots-clé
Child, Child, Preschool, Epilepsy/physiopathology, Epilepsy/surgery, Hemispherectomy, Humans, Pediatrics, Quality of Life, Recurrence, Time Factors, Treatment Outcome
Pubmed
Web of science
Création de la notice
16/02/2012 14:26
Dernière modification de la notice
20/08/2019 15:25
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