Neurobiologic Considerations in Early Surgery for Epilepsy

Michael Duchowny, Bonnie Levin, Prasanna Jayakar, Trevor J. Resnick

Research output: Contribution to journalReview article

12 Citations (Scopus)

Abstract

Children with well-localized medically resistant seizures are often referred for surgical therapy. In young children, at least three maturational issues playa significant role in the selection process and long-term outcome. First, the early years are a time of exceptionally rapid brain development leading to dynamic changes in the electroencephalogram and the clinical expression of seizures. Many early-onset seizure presentations are also associated with catastrophic outcomes, developmental arrest, or regression. Second, the immature limbic system may be vulnerable to stresses operating in early life, although the consequences may not become apparent for many years. Third, in comparison to the adult, the child's nervous system typically exhibits superior functional recovery after lesioning, but the process of sparing and recovery is often incomplete. An understanding of how these neurobiologic factors influence developmental outcome will ultimately lead to greater selectivity of candidates for early surgery and to improved long-term prognosis. (J Child Neurol 1994;9(Suppl):2S42-2S49).

Original languageEnglish (US)
Pages (from-to)2S42-2S49
JournalJournal of Child Neurology
Volume9
Issue number2_suppl
DOIs
StatePublished - Oct 1 1994

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Epilepsy
Seizures
Limbic System
Nervous System
Electroencephalography
Brain
Therapeutics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Cite this

Neurobiologic Considerations in Early Surgery for Epilepsy. / Duchowny, Michael; Levin, Bonnie; Jayakar, Prasanna; Resnick, Trevor J.

In: Journal of Child Neurology, Vol. 9, No. 2_suppl, 01.10.1994, p. 2S42-2S49.

Research output: Contribution to journalReview article

Duchowny, Michael ; Levin, Bonnie ; Jayakar, Prasanna ; Resnick, Trevor J. / Neurobiologic Considerations in Early Surgery for Epilepsy. In: Journal of Child Neurology. 1994 ; Vol. 9, No. 2_suppl. pp. 2S42-2S49.
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