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Focal cortical resections for the treatment of extratemporal epilepsy in children
A R Prats1, G Morrison, A L Wolf
1Miami Children's Hospital, Florida, USA.
Neurosurgery Clinics of North America
|July 1, 1995
Insights
Pediatric epilepsy surgery is an option for children with intractable seizures. This article focuses on treating extratemporal epilepsy, common in children, which differs from adult epilepsy.
Area of Science:
- Pediatric Neurology
- Neurosurgery
Background:
- Epilepsy is a prevalent and debilitating neurological disorder in children.
- A significant percentage of pediatric epilepsy cases (10-20%) become medically intractable.
- Medically intractable epilepsy may necessitate surgical intervention.
Purpose of the Study:
- To discuss the surgical treatment of extratemporal epilepsy in children.
- To highlight the unique characteristics of pediatric epilepsy, particularly its frequent extratemporal origin.
Main Methods:
- Review of surgical approaches for pediatric extratemporal epilepsy.
- Discussion of patient selection criteria for epilepsy surgery.
- Analysis of surgical outcomes and considerations specific to pediatric populations.
Main Results:
- Extratemporal epilepsy is a common presentation in pediatric patients requiring surgical consideration.
- Surgical strategies for extratemporal epilepsy in children differ from those in adults.
- Epilepsy surgery offers a viable treatment option for medically intractable pediatric epilepsy.
Conclusions:
- Surgical treatment is a critical consideration for children with intractable epilepsy.
- Understanding the extratemporal nature of pediatric epilepsy is key to successful surgical management.
- This review provides insights into the surgical management of pediatric extratemporal epilepsy.
Abstract:
Epilepsy in children is a common and disabling disorder. Approximately 10% to 20% of patients who develop seizures will have medically intractable epilepsy. This group of patients may be candidates for epilepsy surgery. Unlike adults, epilepsy in children frequently arises in extratemporal sites. The surgical treatment of this extratemporal epilepsy is discussed in this article.