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Outcomes of Disconnective Surgery in Intractable Pediatric Hemispheric and Subhemispheric Epilepsy
Joint Authors
Russell, Paul Swamidhas Sudhakar
Thomas, Maya Mary
Chacko, Ari George
Thomas, Santhosh George
Daniel, Roy Thomas
Babu, K. Srinivasa
Source
International Journal of Pediatrics
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-09
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objectives: To study the outcome of disconnective epilepsy surgery for intractable hemispheric and sub-hemispheric pediatric epilepsy.
Methods: A retrospective analysis of the epilepsy surgery database was done in all children (age <18 years) who underwent a peri-insular hemispherotomy (PIH) or a peri-insular posterior quadrantectomy (PIPQ) from April 2000 to March 2011.
All patients underwent a detailed pre surgical evaluation.
Seizure outcome was assessed by the Engel’s classification and cognitive skills by appropriate measures of intelligence that were repeated annually.
Results: There were 34 patients in all.
Epilepsy was due to Rasmussen’s encephalitis (RE), Infantile hemiplegia seizure syndrome (IHSS), Hemimegalencephaly (HM), Sturge Weber syndrome (SWS) and due to post encephalitic sequelae (PES).
Twenty seven (79.4%) patients underwent PIH and seven (20.6%) underwent PIPQ.
The mean follow up was 30.5 months.
At the last follow up, 31 (91.1%) were seizure free.
The age of seizure onset and etiology of the disease causing epilepsy were predictors of a Class I seizure outcome.
Conclusions: There is an excellent seizure outcome following disconnective epilepsy surgery for intractable hemispheric and subhemispheric pediatric epilepsy.
An older age of seizure onset, RE, SWS and PES were good predictors of a Class I seizure outcome.
American Psychological Association (APA)
Thomas, Santhosh George& Chacko, Ari George& Thomas, Maya Mary& Babu, K. Srinivasa& Russell, Paul Swamidhas Sudhakar& Daniel, Roy Thomas. 2012. Outcomes of Disconnective Surgery in Intractable Pediatric Hemispheric and Subhemispheric Epilepsy. International Journal of Pediatrics،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-478835
Modern Language Association (MLA)
Thomas, Santhosh George…[et al.]. Outcomes of Disconnective Surgery in Intractable Pediatric Hemispheric and Subhemispheric Epilepsy. International Journal of Pediatrics No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-478835
American Medical Association (AMA)
Thomas, Santhosh George& Chacko, Ari George& Thomas, Maya Mary& Babu, K. Srinivasa& Russell, Paul Swamidhas Sudhakar& Daniel, Roy Thomas. Outcomes of Disconnective Surgery in Intractable Pediatric Hemispheric and Subhemispheric Epilepsy. International Journal of Pediatrics. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-478835
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-478835