TY - JOUR
T1 - Temporal lobectomy in children with epilepsy
AU - Meyer, F. B.
AU - Marsh, W. R.
AU - Laws, E. R.
AU - Sharbrough, F. W.
PY - 1986
Y1 - 1986
N2 - 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.
AB - 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.
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U2 - 10.3171/jns.1986.64.3.0371
DO - 10.3171/jns.1986.64.3.0371
M3 - Article
C2 - 3950715
AN - SCOPUS:0022461460
SN - 0022-3085
VL - 64
SP - 371
EP - 376
JO - Journal of neurosurgery
JF - Journal of neurosurgery
IS - 3
ER -