Temporal lobectomy in children with epilepsy. (Article, 1986) [WorldCat.org]
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Temporal lobectomy in children with epilepsy.
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Temporal lobectomy in children with epilepsy.

Author: F B Meyer; W R Marsh; E R Laws (Jr); F W Sharbrough
Edition/Format: Article Article : English
Publication:Journal of neurosurgery, v64 n3 (198603): 371-6
Summary:
The results of temporal lobectomy for medically refractory seizures are analyzed in 29 boys and 21 girls with a mean age of 15.8 years. The average age at onset of seizures was 7.5 years, and the time between onset and surgery averaged 8.3 years. Postoperatively, 27 patients (54%) were seizure-free, 12 patients (24%) had only occasional auras without loss of consciousness, five patients (10%) had fewer seizures, and  Read more...
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Details

Document Type: Article
All Authors / Contributors: F B Meyer; W R Marsh; E R Laws (Jr); F W Sharbrough
ISSN:0022-3085
Language Note: English
Unique Identifier: 115080612
Awards:

Abstract:

The results of temporal lobectomy for medically refractory seizures are analyzed in 29 boys and 21 girls with a mean age of 15.8 years. The average age at onset of seizures was 7.5 years, and the time between onset and surgery averaged 8.3 years. Postoperatively, 27 patients (54%) were seizure-free, 12 patients (24%) had only occasional auras without loss of consciousness, five patients (10%) had fewer seizures, and six (12%) were unchanged. Therefore, 78% were essentially seizure-free and 88% benefited significantly from the operation. There was no significant change in the Wechsler Intelligence Scale scores before and after surgery; however, the shorter the time between seizure onset and surgery, the greater the likelihood of improvement in verbal and perceptual intelligence quotient. Social outcome was significantly improved, and a large percentage of patients were either in school or actively employed. Early consideration of temporal lobectomy in children with medically refractory seizures is recommended.

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