title: Pediatric epilepsy surgery: neuroimaging, neuropsychology, and anticonvulsants.
abstract: Neuroimaging and the neuropsychological evaluation are important components of the presurgical evaluation for epilepsy surgery. Advances in neuroimaging over the last decade, to a large part, underlie improvements in pediatric epilepsy surgery outcomes. The neuropsychological evaluation plays an important role in the evaluation of the older child and adolescent, particularly in the evaluation of mesial temporal sclerosis. However, its role in the young child being considered for surgery remains to be defined. This section reviews the definition of medical intractability, issues related to medication withdrawal during video-EEG monitoring, recent neuroimaging advances, and the neuropsychological evaluation.
authors.affiliation: Department of Neurology, University of Wisconsin, Madison 53792-5132, USA.
authors.forename: R D
authors.initials: RD
authors.lastname: Sheth
authors.forename: B P
authors.initials: BP
authors.lastname: Hermann
authors.forename: H
authors.initials: H
authors.lastname: Rowley
authors.forename: B E
authors.initials: BE
authors.lastname: Gidal
authors.forename: V M
authors.initials: VM
authors.lastname: Haughton
authors.forename: B D
authors.initials: BD
authors.lastname: Bell
authors.forename: A
authors.initials: A
authors.lastname: Woodard
mesh_terms: D000293:Adolescent; D000927:Anticonvulsants; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004292:Dominance, Cerebral; D004569:Electroencephalography / Q000379:methods; D004827:Epilepsy / Q000175:diagnosis* / Q000473:pathology / Q000523:psychology / Q000601:surgery*; D006801:Humans; D009483:Neuropsychological Tests; D011300:Preoperative Care; D011379:Prognosis; D011877:Radionuclide Imaging / Q000379:methods; D012640:Seizures / Q000139:chemically induced; D016896:Treatment Outcome
chemical_list: D000927:Anticonvulsants