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[Epilepsy surgery during infancy and early childhood in France]

C Bulteau1, G Dorfmüller, M Fohlen

  • 1Service de neurochirurgie pédiatrique, fondation ophtalmologique Adolphe-de-Rothschild, 25-29, rue Manin, 75940 Paris cedex 19, France. cbulteau@fo-rothschild.fr

Neuro-Chirurgie
|April 26, 2008
PubMed

Insights

Epilepsy surgery in children is active in France, with 80-100 procedures annually for drug-resistant epilepsy. Most patients are under 10, highlighting the need for specialized pediatric epilepsy surgery centers.

Area of Science:

  • Pediatric Neurology
  • Neurosurgery
  • Epileptology

Background:

  • The Fondation Rothschild Hospital is France's primary center for pediatric epilepsy surgery.
  • This study details the center's surgical activity for epilepsy in infants and children.

Purpose of the Study:

  • To present the epilepsy surgery activity in infants and children.
  • To analyze patient demographics, evaluation methods, and surgical procedures.

Main Methods:

  • Prospective study from 2003-2007.
  • Involved three patient groups: surgical candidates, those undergoing presurgical evaluation, and those having surgery.
  • Utilized EEG, foramen ovale electrodes, and invasive recording techniques.

Main Results:

  • 304 children were evaluated as surgical candidates; 61% were included in the program.
  • 296 children underwent presurgical evaluation, with 70% under 10 years old.
  • 316 children had surgery, including focal resection, hemispherotomy, hypothalamic hamartoma resection, and palliative procedures.

Conclusions:

  • 80-100 children undergo epilepsy surgery annually at the center.
  • Approximately 70% of surgically treated children are under 10 years of age.
  • This activity is integrated within a network of pediatric neurologists managing severe childhood epilepsy.
Abstract

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