Effective Temporal Lobectomy in Childhood Without Invasive EEG

Temporal lobectomy abolished complex partial seizures (CPSs) in 14 consecutive children (12 years or younger) whose presurgical evaluation included clinical analysis, scalp EEG, and neuroimaging. Seizures of 13 of 14 patients began with a simple partial component whose symptoms were suggestive of li...

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Bibliographic Details
Published in:Epilepsia (Copenhagen) 1997-02, Vol.38 (2), p.164-167
Main Authors: Blume, Warren T., Girvin, John P., McLachlan, Richard S., Gilmore, Barbara E.
Format: Article
Language:English
Subjects:
Age Factors
Biological and medical sciences
Child
Child, Preschool
Children
Complex partial seizures
Electroencephalography - statistics & numerical data
Epilepsy
Epilepsy, Complex Partial - diagnosis
Epilepsy, Complex Partial - physiopathology
Epilepsy, Complex Partial - surgery
Female
Follow-Up Studies
Functional Laterality - physiology
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
Magnetic Resonance Imaging
Male
Medical sciences
Nervous system (semeiology, syndromes)
Neurologic Examination
Neurology
Retrospective Studies
Temporal Lobe - physiopathology
Temporal Lobe - surgery
Temporal lobectomy
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Temporal lobectomy abolished complex partial seizures (CPSs) in 14 consecutive children (12 years or younger) whose presurgical evaluation included clinical analysis, scalp EEG, and neuroimaging. Seizures of 13 of 14 patients began with a simple partial component whose symptoms were suggestive of limbic system involvement. EEG recorded clinically typical seizures arising from the ultimately operated on temporal lobe in seven (50%) and never falsely lateralized seizure origin. Most active interictal spikes arose from the epileptogenic temporal lobe in 13 (93%) and never falsely lateralized epileptogenesis. Neuroimaging disclosed epileptogenic lesions in all: magnetic resonance imaging (MRI; 11 patients) and computed tomography (CT; three patients). Children may obtain relief from CPSs by temporal lobectomy without invasive electroencephalography.
ISSN:0013-9580
1528-1167
DOI:10.1111/j.1528-1157.1997.tb01092.x