Epilepsy Surgery in Children

Luis E Bello-Espinosa; Greg Olavarria

doi:10.1016/j.pcl.2021.04.016

Epilepsy Surgery in Children

Pediatr Clin North Am. 2021 Aug;68(4):845-856. doi: 10.1016/j.pcl.2021.04.016.

Authors

Luis E Bello-Espinosa¹, Greg Olavarria²

Affiliations

¹ Division Head Pediatric Neurology, Arnold Palmer Hospital for Children, Leon Neuroscience Center of Excellence, 100 West Gore Street, Orlando, FL 32806, USA. Electronic address: luis.bello-espinosa@orlandohealth.com.
² Pediatric Neurosurgery, Arnold Palmer Hospital for Children, 100 West Gore Street, Suite 403, Orlando, FL 32806, USA.

PMID: 34247713
DOI: 10.1016/j.pcl.2021.04.016

Abstract

Epilepsy in children continues to present a major medical and economic burden on society. Left untreated, seizures can present the risk of sudden death and severe cognitive impairment. It is understood that primary care providers having concerns about abnormal movements or behaviors in children will make a prompt referral to a trusted pediatric neurologist. The authors present a brief introduction to seizure types, classification, and management with particular focus on what surgery for epilepsy can offer. Improved seizure control and its attendant improvements in quality of life can be achieved with timely referral and intervention.

Keywords: Antiepileptic drug (AED); Corpus callosotomy; Electroencephalography (EEG); Epilepsy; Hemispherotomy; Stereoelectroencephalography (SEEG); Vagal nerve stimulator (VNS).

Publication types

Review

MeSH terms

Child
Corpus Callosum / surgery*
Electroencephalography
Epilepsy / surgery*
Epilepsy, Partial, Motor / surgery
Humans
Neurosurgical Procedures / methods*
Quality of Life
Time Factors
Treatment Outcome