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Long-term outcome of resective epilepsy surgery in Norwegian children

Aaberg, KM ; Eriksson, A-S ; Ramm-Pettersen, J ; Nakken, KO

Acta Paediatrica, 2012-12, Vol.101 (12), p.e557-e560 [Periódico revisado por pares]

Oxford, UK: Blackwell Publishing Ltd

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Título:
Long-term outcome of resective epilepsy surgery in Norwegian children
Autor: Aaberg, KM ; Eriksson, A-S ; Ramm-Pettersen, J ; Nakken, KO
Assuntos: Adolescent ; Anticonvulsants - therapeutic use ; Child ; Child Development ; Child, Preschool ; Children & youth ; Epilepsy ; Epilepsy - drug therapy ; Epilepsy - psychology ; Epilepsy - surgery ; Female ; Follow-Up Studies ; Hemispherectomy - adverse effects ; Humans ; Infant ; Infant, Newborn ; Male ; Norway ; Paediatric epilepsy ; Retrospective Studies ; Seizures ; Surgery ; Surveys and Questionnaires ; Treatment Outcome
É parte de: Acta Paediatrica, 2012-12, Vol.101 (12), p.e557-e560
Notas: ark:/67375/WNG-LTHFVL5B-G
ArticleID:APA2834
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Descrição: Aim: The aim of this study was to evaluate the long‐term results of resective surgery on children with difficult‐to‐treat epilepsy in Norway. Methods: In the period 1995–2004, 64 surgical procedures (54 resections and 10 functional hemispherotomies) were performed in 54 children. The children’s medical records were retrospectively reviewed at a minimum of 2 years after surgery. We sent a questionnaire regarding their epilepsy (seizures, usage of antiepileptic drugs) and general functioning (social situation, motor, language, cognition, behavioural or emotional problems, any remedial action) to the children/parents after a mean follow‐up period of 7 years. Results: 55.5% of the children were seizure‐free. The success rate varied according to the type of surgery. Best results were found after functional hemispherotomies and temporal lobe resections, as nine of 10 (90%) and 10 of 19 (53%) of these patients, respectively, became seizure‐free. In addition to a better seizure control, 71% of the children/parents reported of a better cognitive and psychosocial functioning. Conclusion: The results of epilepsy surgery in this paediatric cohort are very edifying, and it is our impression that this treatment option is underused in Norway.
Editor: Oxford, UK: Blackwell Publishing Ltd
Idioma: Inglês

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Long-term outcome of resective epilepsy surgery in Norwegian children

Aaberg, KM ; Eriksson, A-S ; Ramm-Pettersen, J ; Nakken, KO

Oxford, UK: Blackwell Publishing Ltd

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