Extratemporal epilepsy in children : candidate selection and surgical treatment

From June 1988 to June 1998, 60 children with extratemporal epilepsies (EE), most of whom were symptomatic, underwent surgery. All patients were studied by means of CT scanning, MRI and scalp EEG. Video-telemetry was used in 40 cases. Intracranial electrodes were placed in 10. Intraoperative ECoG wa...

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Bibliographic Details
Published in:Child's nervous system 2000-12, Vol.16 (12), p.842-850
Main Authors: POMATA, Hugo B, GONZALEZ, Roberto, RABINOWICZ, Adrian, WAISBURG, Héctor, TARATUTO, Ana L, MONGES, Jorge, BARTULUCHI, Marcelo, PETRE, César A, CIRAOLO, Carlos, CARABALLO, Roberto, CERSOCIMO, Ricardo, TENEMBAUM, Silvia, SOPRANO, Ana M, MEDINA, Carlos S
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Brain - diagnostic imaging
Brain - pathology
Brain - physiopathology
Child
Child, Preschool
Epilepsy - diagnosis
Epilepsy - diagnostic imaging
Epilepsy - physiopathology
Epilepsy - surgery
Female
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
Infant
Magnetic Resonance Imaging
Male
Medical sciences
Monitoring, Intraoperative
Nervous system (semeiology, syndromes)
Neurology
Neurosurgical Procedures
Personnel Selection
Retrospective Studies
Tomography, X-Ray Computed
Tropical medicine
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Summary:From June 1988 to June 1998, 60 children with extratemporal epilepsies (EE), most of whom were symptomatic, underwent surgery. All patients were studied by means of CT scanning, MRI and scalp EEG. Video-telemetry was used in 40 cases. Intracranial electrodes were placed in 10. Intraoperative ECoG was used in the 35 children who underwent resective procedures and in the 25 in whom disconnection was performed. Surgical procedures were as follows: 24 lesionectomies, 25 disconnecting procedures, 7 polectomies and/or lobectomies, 3 corticectomies and 1 anatomical hemispherectomy. After at least 1 year's follow-up in 48 children, to date 38 are in Engel class I, 7 in class II, 1 in class III and 2 in class IV. That is to say, in 46 of the 48, surgical outcomes ranges from very good to at least worthwhile, as reflected in their classification in Engel class III.
ISSN:0256-7040
1433-0350
DOI:10.1007/s003819900237