Role of surgery in pediatric epilepsy.

Details

Serval ID
serval:BIB_6AF9F90FE970
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Role of surgery in pediatric epilepsy.
Journal
Indian Pediatrics
Author(s)
Daniel R.T., Thomas S.G., Thomas M.
ISSN
0019-6061 (Print)
ISSN-L
0019-6061
Publication state
Published
Issued date
2007
Volume
44
Number
4
Pages
263-273
Language
english
Notes
Publication types: Journal Article ; Review
Abstract
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.
Keywords
Child, Child, Preschool, Epilepsy/physiopathology, Epilepsy/surgery, Hemispherectomy, Humans, Pediatrics, Quality of Life, Recurrence, Time Factors, Treatment Outcome
Pubmed
Web of science
Create date
16/02/2012 13:26
Last modification date
20/08/2019 14:25
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