Quality of life and life satisfaction in families after a child has undergone corpus callostomy.
Epilepsy is a chronic neurological condition which can have a detrimen tal effect on patients' quality of life (QOL). We evaluated the overall satisfaction with QOL and changes in QOL in 25 families with children who had undergone corpus callostomy for severe epilepsy. The mean age of seizure onset was 3.4 years, and the mean period from seizure onset to operation was 5.2 years. Mean follow-up was 19.3 months. Twenty of 22 patients had various degrees of mental retardation. Mean reduction in severity of seizure activity was 64%. Nineteen of 25 (76%) parents were satisfied with the surgical result. Eighteen of 25 parents (72%) described a good level of satisfaction with their families QOL after callostomy. Reduction in severity of seizure activity was significantly correlated with how successful families considered the surgery to be and how satisfied they were with their QOL (r = 0.72 and 0.77, respectively). Life domains showing one greatest improvement after callostomy included level of self-care, family life, and school performance. Improvements in level of self-care, family life, and school performance were associated with higher levels of life satisfaction (r = 0.69, 0.60, and 0.59, respectively). Hyperactivity, attention span, and social skills improved significantly in 11 patients after surgery. Callostomy did not improve mental performance. We conclude that improved seizure control after callostomy is also associated with improved QOL.
Yang
T F
TF
Department of Physical Medicine and Rehabilitation, National Yang-Ming University, Taipei, Taiwan.
Wong
T T
TT
Kwan
S Y
SY
Chang
K P
KP
Lee
Y C
YC
Hsu
T C
TC
D000124:Achievement; D017668:Age of Onset; D001294:Attitude to Health; D002648:Child; D003337:Corpus Callosum / Q000601:surgery*; D004827:Epilepsy / Q000523:psychology / Q000601:surgery*; D005192:Family Health; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008607:Intellectual Disability / Q000150:complications / Q000175:diagnosis; D008297:Male; D011788:Quality of Life; D012648:Self Care; D012720:Severity of Illness Index; D016896:Treatment Outcome