[Surgical outcomes of pediatric symptomatic epilepsy and their influencing factors]
Zhi-Quan Yang1, Xian-Rui Yuan, Yan-Hong Zhou
1Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha 410008, China.
Insights
Surgical treatment offers favorable outcomes for pediatric symptomatic epilepsy. Lower preoperative seizure frequency independently predicts better results after surgery.
Area of Science:
- Pediatric Neurology
- Neurosurgery
- Epileptology
Context:
- Symptomatic epilepsy in children presents significant challenges.
- Surgical intervention is a potential treatment modality.
- Understanding factors influencing surgical success is crucial.
Purpose:
- To evaluate surgical outcomes in pediatric symptomatic epilepsy.
- To identify predictors of postoperative seizure control.
Summary:
- A cohort of 48 children with symptomatic epilepsy underwent surgery.
- Follow-up in 43 cases (mean 27.3 months) showed Engel Class I outcomes in 74% of patients.
- Preoperative seizure frequency was a significant independent predictor of favorable outcomes.
Impact:
- Surgical treatment can yield positive results for pediatric symptomatic epilepsy.
- Preoperative seizure burden is a key factor in surgical success.
- Findings inform patient selection and surgical planning for improved epilepsy management.
Objective:
To investigate the surgical outcomes of pediatric symptomatic epilepsy and the influencing factors for postoperative outcomes.
Methods:
A cohort of 48 children with symptomatic epilepsy received surgical treatment from October 2004 to September 2008. The surgical outcomes were followed up.
Results:
A 27.3 months (range 12-51 months) follow-up was performed in 43 cases. Engel classification for evaluating postoperative epileptic outcomes showed that class I in 32 cases (74%), class II in 4 cases (9%), class III in 4 cases (9%) and class IV in 3 cases (7%). Preoperative seizure frequency is an independent predictor of postoperative epileptic outcomes (P<0.05).
Conclusions:
Operative treatment can lead to a favorable result in children with symptomatic epilepsy. Preoperative seizure frequency is an independent influencing factor for postoperative outcomes.
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