Palliative Epilepsy Surgery Procedures in Children
| Autor: | Rebecca DeCarlo, Tyson S. Matern, Michael A. Ciliberto, Rani K. Singh |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Drug Resistant Epilepsy Deep brain stimulation Epilepsy business.industry medicine.medical_treatment medicine.disease Neurosurgical Procedures Surgery Treatment Outcome Quality of life Seizures Pediatrics Perinatology and Child Health Quality of Life Medicine Corpus callosotomy Humans Epilepsy surgery Neurology (clinical) Disconnection business Child Multiple subpial transection Vagus nerve stimulation |
| Zdroj: | Seminars in pediatric neurology. 39 |
| ISSN: | 1558-0776 |
| Popis: | Surgical treatment of epilepsy typically focuses on identification of a seizure focus with subsequent resection and/or disconnection to "cure" the patient's epilepsy and achieve seizure freedom. Palliative epilepsy surgery modalities are efficacious in improving seizure frequency, severity, and quality of life. In this paper, we review palliative epilepsy surgical options for children: vagus nerve stimulation, responsive neurostimulation, deep brain stimulation, hemispherotomy, corpus callosotomy, lobectomy and/or lesionectomy and multiple subpial transection. Reoperation after surgical resection should also be considered. If curative resection is not a viable option for seizure freedom, these methods should be considered with equal emphasis and urgency in the treatment of drug-resistant epilepsy. |
| Databáze: | OpenAIRE |
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