title: Surgical treatment of focal epilepsy in children: results in 37 patients.
abstract: This report concerns 37 children and teenagers operated upon for intractable seizures between 1990 and 1994. Follow-up is at least 3 years. Fourteen children underwent pure temporal lobe resections; 71% are seizure free, and 93% have a better than 90% decrease in seizure frequency. The presence of a lesion on magnetic resonance imaging, the side of the lesion, or the presence of abnormal pathology had no influence on the result of resection. 28% of the children who had extratemporal resections are seizure free, and 83% have a greater than 90% decrease in seizure frequency. There was a trend to better results in those with a lesion on magnetic resonance imaging. In the small group with temporal plus extratemporal foci, the results were poor with only 60% showing a greater than 90% reduction in seizure frequency.
authors.affiliation: Columbia Children's Hospital and Children's Medical Center, Dallas, Tex., USA.
authors.forename: J W
authors.initials: JW
authors.lastname: Bizzi
authors.forename: D A
authors.initials: DA
authors.lastname: Bruce
authors.forename: R
authors.initials: R
authors.lastname: North
authors.forename: R
authors.initials: R
authors.lastname: Elterman
authors.forename: S
authors.initials: S
authors.lastname: Linder
authors.forename: S
authors.initials: S
authors.lastname: Porter-Levy
authors.forename: C
authors.initials: C
authors.lastname: Ault
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004569:Electroencephalography; D004828:Epilepsies, Partial / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome