Surgical Treatment of Pediatric Epilepsy

Jeffrey G. Ojemann

doi:10.1055/s-2002-35249

Seminars in Neurosurgery, Table of Contents

Seminars in Neurosurgery 2002; 13(1): 071-080
DOI: 10.1055/s-2002-35249

Surgical Treatment of Pediatric Epilepsy

Jeffrey G. Ojemann

Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri; and St. Louis Children's Hospital, St. Louis, Missouri

Abstract

ABSTRACT

Children with medically refractory epilepsy may benefit from neurosurgical interventions. As in adults, temporal lobectomy in patients with temporal lobe seizure focus gives good rates of long-term seizure freedom. Neocortical foci are more common in children and often require invasive monitoring with different resective surgeries to treat. Hemispherectomy in patients with unilateral epilepsy and hemispheric deficits has a good outcome as well. Corpus callosotomy and vagus nerve stimulation are effective tools to reduce seizure severity and frequency in children who are not candidates for resective surgery.

KEYWORDS

Intractable seizures - temporal lobectomy - hemispherectomy - vagus nerve stimulator

Full Text

References

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