Epilepsy surgery does not harm motor performance of children and adolescents
| Autor: | Aag Jennekens-Schinkel, Jan Willem Gorter, R. van Empelen, O. van Nieuwenhuizen, Paul J. M. Helders, M. J. M. Volman |
|---|---|
| Přispěvatelé: | University of Groningen |
| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Adolescent PEDIATRIC EVALUATION medicine.medical_treatment GROSS HEMISPHERECTOMY CEREBRAL-PALSY IMPAIRMENTS CLASSIFICATION Cerebral palsy Disability Evaluation Epilepsy Muscle tone children QUALITY-OF-LIFE Activities of Daily Living medicine Humans motor development Epilepsy surgery Spasticity Child GMFCS Motor skill Analysis of Variance DISABILITY INVENTORY Cerebral Palsy Brain Infant Gross Motor Function Classification System medicine.disease Hemispherectomy Treatment Outcome medicine.anatomical_structure Caregivers Motor Skills Child Preschool RELIABILITY epilepsy surgery Physical therapy Female Neurology (clinical) medicine.symptom activities of daily life (ADL) Psychology SYSTEM |
| Zdroj: | Brain, 128, 1536-1545. Oxford University Press |
| ISSN: | 1460-2156 0006-8950 |
| DOI: | 10.1093/brain/awh499 |
| Popis: | The impact of epilepsy surgery on motor performance, activities of daily life (ADL) and caregiver assistance was assessed in 37 children (age range 0.1-15.4 years) with pharmacologically untreatable epilepsy, 17 of whom were also diagnosed as having spasticity of cerebral origin. All patients underwent epilepsy surgery between 1996 and 2001 at the Wilhelmina University Children's Hospital and were assessed using a standard protocol at fixed intervals: before surgery and 6 months, 1 year and 2 years after surgery. The type of surgery was hemispherectomy (n = 14) and temporal (n = 14), frontal (n = 4), parietal (n = 2) and central (n = 2) resection. One child underwent callosotomy. Engel's classification was used to determine seizure outcome. Impairments were measured in terms of muscle strength, range of motion and muscle tone. Motor performance of infants and children without spasticity was measured using the Movement Assessment Battery for Children (M-ABC). The Gross Motor Function Measure (GMFM-88) was used in children with spasticity, the severity of motor disability in this group being determined by means of the Gross Motor Function Classification System (GMFCS). Daily activities and caregiver's assistance were measured in all children using the Pediatric Evaluation of Disability Inventory (PEDI). Twenty-four months after surgery 74% of the children could be classified as Engel class 1, indicating a significant seizure reduction. Impairments revealed some decrease in muscle strength and range of motion in the group with spasticity. Scores improved statistically significantly at group level on M-ABC and GMFM (P |
| Databáze: | OpenAIRE |
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