Early surgery for epilepsy

redefining candidacy.

T. J. Resnick, M. Duchowny, P. Jayakar

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Surgical resection for localization-related epilepsy has recently become a generally accepted treatment in children. Evidence of the poor outcome in natural history studies of temporal lobe epilepsy in childhood initiated consideration of surgical intervention. Subsequent favorable outcome following surgery was encouraging. A number of variables differentiate adults with focal seizures from children. Evolving biologic factors modify the clinical and electroencephalographic expression of seizures in childhood. The pathologic substrate is different, and there is a higher incidence of extratemporal epilepsy. Chronic seizures beginning under age 2 years rarely remit, especially when associated with a demonstrable structural lesion. Behavioral consequences of chronic seizures are significant and become a major problem by adolescence if seizures are not controlled. Early surgery results in superior functional outcome, although subtle deficits persist postoperatively. Surgical outcome is as favorable as in adults with improvements in behavioral status and socialization. Abundant data exist to more adequately assess the benefits and risks of surgery in children so that intervention is not deferred longer than it needs to be.

Original languageEnglish
Pages (from-to)36-41
Number of pages6
JournalJournal of Child Neurology
Volume9 Suppl 2
StatePublished - Oct 1 1994

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Epilepsy
Seizures
Socialization
Partial Epilepsy
Temporal Lobe Epilepsy
Biological Factors
Natural History
Incidence
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health

Cite this

Resnick, T. J., Duchowny, M., & Jayakar, P. (1994). Early surgery for epilepsy: redefining candidacy. Journal of Child Neurology, 9 Suppl 2, 36-41.

Early surgery for epilepsy : redefining candidacy. / Resnick, T. J.; Duchowny, M.; Jayakar, P.

In: Journal of Child Neurology, Vol. 9 Suppl 2, 01.10.1994, p. 36-41.

Research output: Contribution to journalArticle

Resnick, TJ, Duchowny, M & Jayakar, P 1994, 'Early surgery for epilepsy: redefining candidacy.', Journal of Child Neurology, vol. 9 Suppl 2, pp. 36-41.
Resnick TJ, Duchowny M, Jayakar P. Early surgery for epilepsy: redefining candidacy. Journal of Child Neurology. 1994 Oct 1;9 Suppl 2:36-41.
Resnick, T. J. ; Duchowny, M. ; Jayakar, P. / Early surgery for epilepsy : redefining candidacy. In: Journal of Child Neurology. 1994 ; Vol. 9 Suppl 2. pp. 36-41.
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