Surgically amenable epilepsies in children and adolescents: clinical, imaging, electrophysiological, and post-surgical outcome data

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dc.contributor.authorTerra-Bustamante, V. C.
dc.contributor.authorFernandes, RMF
dc.contributor.authorInuzuka, L. M.
dc.contributor.authorVelasco, T. R.
dc.contributor.authorAlexandre, V
dc.contributor.authorWichert-Ana, L.
dc.contributor.authorFunayama, S.
dc.contributor.authorGarzon, E.
dc.contributor.authorSantos, A. C.
dc.contributor.authorAraujo, D.
dc.contributor.authorWalz, R.
dc.contributor.authorAssirati, J. A.
dc.contributor.authorMachado, H. R.
dc.contributor.authorSakamoto, A. C.
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T12:37:56Z
dc.date.available2016-01-24T12:37:56Z
dc.date.issued2005-07-01
dc.description.abstractBackground and purpose: A large number of patients with epilepsy in the pediatric population have medically intractable epilepsy. in this age group seizures are usually daily or weekly, and response to antiepileptic therapy is poor, especially for those with neurological abnormalities and symptomatic epilepsies. However, several authors have already demonstrated similarly favorable long-term post-surgical seizure control when comparing pediatric and adult populations. in this article we aim to report the experience of the Ribeirao Preto Epilepsy Surgery Program in pediatric epilepsy surgery. Patients and methods: We analyzed 107 patients with medically intractable epilepsy operated on between July 1994 and December 2002, considering age at surgery, seizure type, pathological findings, and seizure outcome. All data were prospectively collected according to protocols previously approved by the institution ethics committee. Results: We analyzed a total of 115 operations performed in 107 patients. There was no difference in sex distribution. Complex partial seizures occurred in 31.4% of the patients, followed by tonic seizures (25.9%), focal motor seizures (15.4%), and infantile spasms (13.3%). the most common etiologies were cortical developmental abnormalities (25.2%), tumors (16.8%), mesial temporal sclerosis (15.9%), Rasmussen syndrome (6.5%), and tuberous sclerosis (6.5%). Overall post-surgical seizure outcome showed 67.2% of the patients within Engel classes I and II, reaching 75.0% when patients with callosotomies were excluded. Conclusions: Post-surgical seizure control in the pediatric population is similar to that in adult patients, despite the fact that epilepsies in this age group are more frequently of extratemporal origin, suggesting that surgery should be considered in children as soon as intractability is determined.en
dc.description.affiliationUniv São Paulo, Ribeirao Preto Sch Med, Dept Neurol, BR-14049900 São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Dept Neurol, São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Ribeirao Preto Sch Med, Dept Radiol, BR-14049900 São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Ribeirao Preto Sch Med, Dept Neurosurg, BR-14049900 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Neurol, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent546-551
dc.identifierhttp://dx.doi.org/10.1007/s00381-004-1106-0
dc.identifier.citationChilds Nervous System. New York: Springer, v. 21, n. 7, p. 546-551, 2005.
dc.identifier.doi10.1007/s00381-004-1106-0
dc.identifier.issn0256-7040
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/28363
dc.identifier.wosWOS:000230624300006
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofChilds Nervous System
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dc.subjectintractable epilepsyen
dc.subjectpediatric epilepsyen
dc.subjectepilepsy surgeryen
dc.titleSurgically amenable epilepsies in children and adolescents: clinical, imaging, electrophysiological, and post-surgical outcome dataen
dc.typeinfo:eu-repo/semantics/article
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