Temporal lobectomy in children with epilepsy

F. B. Meyer, W. R. Marsh, E. R. Laws, F. W. Sharbrough

Research output: Contribution to journalArticle

153 Scopus citations

Abstract

The results of temporal lobectomy for medically refractory seizures are analyzed in 29 boys and 21 girls with a mean age of 15.8 years. The average age at onset of seizures was 7.5 years, and the time between onset and surgery averaged 8.3 years. Postoperatively, 27 patients (54%) were seizure-free, 12 patients (24%) had only occasional auras without loss of consciousness, five patients (10%) had fewer seizures, and six (12%) were unchanged. Therefore, 78% were essentially seizure-free and 88% benefited significantly from the operation. There was no significant change in the Wechsler Intelligence Scale scores before and after surgery; however, the shorter the time between seizure onset and surgery, the greater the likelihood of improvement in verbal and perceptual intelligence quotient. Social outcome was significantly improved, and a large percentage of patients with either in school or actively employed. Early consideration of temporal lobectomy in children with medically refractory seizures is recommended.

Original languageEnglish (US)
Pages (from-to)371-376
Number of pages6
JournalJournal of neurosurgery
Volume64
Issue number3
DOIs
StatePublished - Jan 1 1986

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Meyer, F. B., Marsh, W. R., Laws, E. R., & Sharbrough, F. W. (1986). Temporal lobectomy in children with epilepsy. Journal of neurosurgery, 64(3), 371-376. https://doi.org/10.3171/jns.1986.64.3.0371