Bilateral epilepsy surgery in a 4-year-old child.
OBJECTIVE
Reports on bilateral epilepsy surgical interventions are anecdotal because of the possible neurological deficits caused by them.


METHODS
We report on a four-year-old amaurotic child with catastrophic epilepsy due to bilateral occipital cortical dysplasia. After video-EEG monitoring and intraoperative electrocorticography he underwent a two-step bilateral occipital lobectomy.


RESULTS
The first resection resulted in only temporary seizure cessation; however, he became seizure-free after the second operation (follow-up: 20 months).


CONCLUSIONS
Patients with catastrophic epilepsy due to bilateral epileptogenic lesions but without a high risk of additional postsurgical deficit may be good candidates for epilepsy surgery.
Fogarasi
A
A
Bethesda Children's Hospital, 1146 Budapest, Hungary. fogarasi@bethesda.hu
Neuwirth
M
M
Hegyi
M
M
Siegler
Z
Z
Barsi
P
P
Gyorsok
Z
Z
Janszky
J
J
Madarassy
G
G
Bognár
L
L
D001766:Blindness / Q000150:complications; D002388:Catastrophic Illness / Q000628:therapy; D002675:Child, Preschool; D004828:Epilepsies, Partial / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D009778:Occipital Lobe / Q000601:surgery*; D012086:Reoperation