EPILEPSY SURGERY IN CHILDREN

被引:22
作者
DUCHOWNY, M [1 ]
机构
[1] MIAMI CHILDRENS HOSP,DEPT NEUROSCI,MIAMI,FL 33155
关键词
D O I
10.1097/00019052-199504000-00004
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The practice of operating on children with chronic epilepsy is rapidly gaining acceptance as an important therapeutic modality. This review summarizes some of the recent advances in pediatric epilepsy surgery in relation to the natural history of chronic childhood seizures, surgical treatment, and outcome. Candidate selection has been greatly facilitated by new information bearing on the natural history of medically resistant seizures and the greater than expected incidence of early hippocampal sclerosis. Because the majority of children suffer from extratemporal epilepsy, ictal single photon emission computed tomography and subdural electroencephalogram recording are becoming increasingly important for both seizure and functional localization in the child, and have been shown to be well tolerated, even in very young patients. Furthermore, the outcome of both excisional and commissural procedures in early life with respect to seizure control is similar to that reported for adults, irrespective of age. More information about the long-term effects of epilepsy surgery in children is urgently needed, but the available data confirms surgical therapy as an effective intervention with low morbidity.
引用
收藏
页码:112 / 116
页数:5
相关论文
共 29 条
[21]  
KUKS JBM, 1993, LANCET, V342, P1391
[22]   CORPUS CALLOSOTOMY FOR THE TREATMENT OF INTRACTABLE EPILEPSY IN CHILDREN [J].
MAKARI, GS ;
HOLMES, GL ;
MURRO, AM ;
SMITH, JR ;
FLANIGIN, HF ;
COHEN, MJ ;
HUH, K ;
GALLAGHER, BS ;
ACKELL, AB ;
CAMPBELL, R ;
KING, DW .
JOURNAL OF EPILEPSY, 1989, 2 (01) :1-7
[23]   ANTERIOR TEMPORAL LOBECTOMY AND MEDICALLY REFRACTORY TEMPORAL-LOBE EPILEPSY OF CHILDHOOD [J].
MIZRAHI, EM ;
KELLAWAY, P ;
GROSSMAN, RG ;
RUTECKI, PA ;
ARMSTRONG, D ;
RETTIG, G ;
LOEWEN, S .
EPILEPSIA, 1990, 31 (03) :302-312
[24]  
Shields W. Donald, 1993, P35
[25]   REMISSION OF SEIZURES AND PREDICTORS OF INTRACTABILITY IN LONG-TERM FOLLOW-UP [J].
SILLANPAA, M .
EPILEPSIA, 1993, 34 (05) :930-936
[26]   INTRACAROTID AMOBARBITAL TESTING FOR LANGUAGE AND MEMORY DOMINANCE IN CHILDREN [J].
SZABO, CA ;
WYLLIE, E .
EPILEPSY RESEARCH, 1993, 15 (03) :239-246
[27]   OUTCOME OF CHILDHOOD STATUS EPILEPTICUS AND LENGTHY FEBRILE CONVULSIONS - FINDINGS OF NATIONAL COHORT STUDY [J].
VERITY, CM ;
ROSS, EM ;
GOLDING, J .
BMJ-BRITISH MEDICAL JOURNAL, 1993, 307 (6898) :225-228
[28]   INTRACAROTID AMYTAL PROCEDURE EVALUATION OF HEMISPHERIC SPEECH AND MEMORY FUNCTION IN CHILDREN AND ADOLESCENTS [J].
WESTERVELD, M ;
ZAWACKI, T ;
SASS, KJ ;
SPENCER, S ;
NOVELLY, RA ;
SPENCER, DD .
JOURNAL OF EPILEPSY, 1994, 7 (04) :295-302
[29]   TEMPORAL-LOBE EPILEPSY IN EARLY-CHILDHOOD [J].
WYLLIE, E ;
CHEE, M ;
GRANSTROM, ML ;
DELGIUDICE, E ;
ESTES, M ;
COMAIR, Y ;
PIZZI, M ;
KOTAGAL, P ;
BOURGEOIS, B ;
LUDERS, H .
EPILEPSIA, 1993, 34 (05) :859-868