Extratemporal epilepsy in children: candidate selection and surgical treatment
| Autor: | H. B. Pomata, R. González, M. Bartuluchi, C. A. Petre, C. Ciraolo, R. Caraballo, R. Cersósimo, S. Tenembaum, A. M. Soprano, C. S. Medina, A. Rabinowicz, H. Waisburg, A. L. Taratuto, A. Taratuto, J. Monges |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Neurosurgical Procedures Central nervous system disease Epilepsy Monitoring Intraoperative medicine Humans Epilepsy surgery Child Personnel Selection Retrospective Studies medicine.diagnostic_test business.industry Brain Infant Magnetic resonance imaging Retrospective cohort study General Medicine medicine.disease Magnetic Resonance Imaging Surgery Hemispherectomy El Niño Child Preschool Pediatrics Perinatology and Child Health Female Neurology (clinical) Neurosurgery Tomography X-Ray Computed business |
| Zdroj: | Child's Nervous System. 16:842-850 |
| ISSN: | 1433-0350 0256-7040 |
| DOI: | 10.1007/s003819900237 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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