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Epilepsy surgery in children

M Duchowny1

  • 1Seizure Unit, Miami Children's Hospital, Florida, USA.

Current Opinion in Neurology
|April 1, 1995
PubMed
Summary
This summary is machine-generated.

Pediatric epilepsy surgery is increasingly accepted for treating chronic seizures in children. Advances in diagnosis and surgical techniques offer effective outcomes with low morbidity, though long-term effects require further study.

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Area of Science:

  • Pediatric Neurology
  • Neurosurgery

Background:

  • Chronic epilepsy in children is a significant health concern.
  • Epilepsy surgery is emerging as a vital treatment option for pediatric patients.
  • Understanding the natural history of childhood seizures is crucial for treatment efficacy.

Purpose of the Study:

  • To review recent advancements in pediatric epilepsy surgery.
  • To correlate surgical outcomes with the natural history of childhood seizures.
  • To highlight improvements in candidate selection and surgical techniques.

Main Methods:

  • Review of current literature on pediatric epilepsy surgery.
  • Analysis of diagnostic tools like ictal single photon emission computed tomography (SPECT) and subdural electroencephalogram (EEG) recording.

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  • Evaluation of outcomes for excisional and commissural procedures.

    • Main Results:

    • Improved candidate selection due to better understanding of medically resistant seizures and early hippocampal sclerosis.
    • Increased importance of ictal SPECT and subdural EEG for localization in extratemporal epilepsy.
    • Seizure control outcomes in children are comparable to adults, regardless of age.

    Conclusions:

    • Pediatric epilepsy surgery is an effective intervention with low morbidity.
    • Surgical therapy offers favorable seizure control for children with chronic epilepsy.
    • Further research into the long-term effects of pediatric epilepsy surgery is warranted.