Cirugía de la epilepsia en niños y adolescentes: experiencia de 43 casos
| Autor: | Carlos Ciraolo, Betina Comas, Marina Aberastury, Walter Silva, Guillermo Agosta, Ana Gabriela Besocke, Maria Victoria Garcia |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Cortical dysplasia medicine.disease Epileptogenic zone Complete resection Surgery Hemispherectomy 03 medical and health sciences Epilepsy 0302 clinical medicine 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Refractory epilepsy medicine Epilepsy surgery In patient business 030217 neurology & neurosurgery |
| Zdroj: | Archivos Argentinos de Pediatria. 114 |
| ISSN: | 0325-0075 |
| DOI: | 10.5546/aap.2016.458 |
| Popis: | Epilepsy surgery in children with refractory epilepsy is one of the most effective methods to control seizures. The proper selection and assessment of surgery candidates is critical for surgical treatment to be adequately effective and safe. The purpose of this article is to describe our experience with 43 consecutive pediatric patients that underwent epilepsy surgery for refractory epilepsy between September 2005 and May 2014. Effectiveness, safety, and prognostic factors were analyzed. The median age was 12 years old at the time of surgery and 4.5 years old at epilepsy onset, with a latency period of up to 6 years until surgery. Since the surgery, the 43 patients have been in follow-up for a median of 5.4 years (±2.3 years). Resective surgery was performed in 32 patients and hemispherectomy, in 11 patients. To date, 62.8% of patients remain seizure-free. Abetterprognosis was observed in patients who underwent surgery with a duration of epilepsy of less than two years and in patients in whom a complete resection of the epileptogenic zone was achieved. |
| Databáze: | OpenAIRE |
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