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Instituto Nacional de Neurología y Neurocirugía

2021, Number 4

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Arch Neurocien 2021; 26 (4)

Pediatric Epilepsy Surgery. Experience at the International Center for Neurological Restoration

Gonzalez-Gonzalez J, Morales-Chacón LM, Ríos-Castillo MC, Quintanal-Cordero NE, Garbey-Fernández R, Berrillo-Batista S, Estupiñan-Díaz BO, Zaldívar-Bermúdez M

Language: Spanish
References: 23
Page: 9-16
PDF size: 381.12 Kb.


ABSTRACT

Introduction: Epilepsy surgery in children and adolescents with drug-resistant epilepsy is an effective method for the control of epileptic seizures.
Objective: To show the results of the pre-surgical evaluation and the post-surgical follow-up in pediatric patients operated for epilepsy at the International Center for Neurological Restoration (CIREN).
Material and Method: A prospective descriptive study was carried out in a series of 20 patients who underwent epilepsy surgery in the period from November / 2013 to February / 2020.
Results: There was a "73.3%" decrease in the frequency of seizures in the first year of evolution, without significant difference according to the types of surgeries performed. The 25% of the patients had temporary complications and no child died. According to the Modified Engel Scale, applied to 70% of the patients in the last consultation, the 21.4% of patients were in category Ia (free of seizures after surgery), the 14.2% in category IIb (rare seizures after surgery), the 14.2% in category IId (only nocturnal seizures) and 50% in category IVa (significant reduction in seizures, between 50-90%).
Conclusions: Surgery turned out to be an effective and safe surgical procedure for this group of patients, all patients managed to significantly reduce the frequency of seizures both in the short and long term and there were no serious complications or deaths.


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