Paediatric epilepsy surgery: Techniques and outcomes

Epilepsy is a neurological condition characterised by recurrent and persistent seizures. For paediatric patients, achieving early seizure freedom can have positive impacts on cognition, development, social integration and mental health, leading to improved quality of life. In general, one third of p...

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Bibliographic Details
Published in:Journal of paediatrics and child health 2022-11, Vol.58 (11), p.1952-1957
Main Authors: Almojuela, Alysa, Xu, Qi, O'Carroll, Aoife, Ritchie, Lesley, Serletis, Demitre
Format: Article
Language:English
Subjects:
Child
Cognition
Convulsions & seizures
Drug Resistant Epilepsy - surgery
Electroencephalography
Epilepsy
Epilepsy - drug therapy
Epilepsy - surgery
Humans
Neurosurgery
operative technique
outcomes
paediatric
Pediatrics
Quality of Life
Seizures
Surgical outcomes
Surgical techniques
Treatment Outcome
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Summary:Epilepsy is a neurological condition characterised by recurrent and persistent seizures. For paediatric patients, achieving early seizure freedom can have positive impacts on cognition, development, social integration and mental health, leading to improved quality of life. In general, one third of patients with epilepsy are refractory to medication; for these patients, epilepsy surgery may offer the only chance for improved seizure control. Epilepsy surgery as a therapeutic intervention has become increasingly accepted in the past few decades, with more diverse options available (including neuromodulatory and minimally invasive techniques). In this context, we discuss here the pre‐operative workup for paediatric patients with medically refractory epilepsy and provide an updated review on current and emerging surgical therapies for this condition. We also discuss the clinical, neuropsychological, quality of life and economic impacts of epilepsy surgery.
ISSN:1034-4810
1440-1754
DOI:10.1111/jpc.16236