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05:54
Stereo-Electro-Encephalo-Graphy SEEG With Robotic Assistance in the Presurgical Evaluation of Medical Refractory Epilepsy: A Technical Note
Published on: June 13, 2016
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Seizure control following palliative resective surgery for intractable epilepsy-a pilot study
Mohammed Ilyas1, Lalitha Sivaswamy2, Eishi Asano3
1Wayne State University School of Medicine, Children's Hospital of Michigan, Detroit, Michigan.
Pediatric Neurology
|August 28, 2014
Summary
Palliative epilepsy surgery in children can reduce seizure frequency and improve quality of life. Resection of the most epileptogenic focus offers significant benefits for carefully selected patients with intractable epilepsy.
Area of Science:
- Pediatric Neurology
- Neurosurgery
- Epileptology
Background:
- Intractable epilepsy with bilateral foci often excludes patients from curative surgery.
- Palliative resection aims to decrease seizure frequency and enhance quality of life.
- This study evaluates outcomes of palliative epilepsy surgery in pediatric patients.
Purpose of the Study:
- To assess the effectiveness of palliative epilepsy surgery in children.
- To determine seizure reduction and quality of life improvements post-surgery.
Main Methods:
- Retrospective chart review of children undergoing palliative resection (1999-2013).
- Palliative intent declared preoperatively.
- Outcome assessment focused on seizure reduction.
Main Results:
- 18 children (median age 3.5 years) underwent palliative resection.
- 11 patients experienced seizure reduction; 8 achieved seizure freedom on medication.
- Hemispherectomy was the most common procedure.
Conclusions:
- Palliative epilepsy surgery can be beneficial in select pediatric cases.
- Resecting the primary epileptogenic focus can reduce seizure burden.
- Careful patient selection is key to successful outcomes.
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