Anterior Temporal Lobectomy and Medically Refractory Temporal Lobe Epilepsy of Childhood

Eli M. Mizrahi; Peter Kellaway; Robert G. Grossman; Paul A. Rutecki; Dawna Armstrong; Gayle Rettig; Susan Loewen

doi:10.1111/j.1528-1157.1990.tb05380.x

Anterior Temporal Lobectomy and Medically Refractory Temporal Lobe Epilepsy of Childhood

Eli M. Mizrahi, Peter Kellaway, Robert G. Grossman, Paul A. Rutecki, Dawna Armstrong, Gayle Rettig, Susan Loewen

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105 Scopus citations

Abstract

The evaluation and outcome of 22 patients who had onset of complex partial seizures (CPS) of temporal lobe origin in childhood and subsequently underwent anterior temporal lobectomy are described. All patients showed improved seizure control; 81.8% had a reduction ≥95% in seizure frequency. However, many patients had difficulty adjusting to a seizure-free life. Psychosocial, behavioral, and educational problems occurred more frquently in patients whose surgery was delayed until adult life. We conclude that attempts should be made early in the course of CPS of childhood to determine whether the seizures are truly intractable to medical management so that surgical intervention can be expedited.

Original language	English (US)
Pages (from-to)	302-312
Number of pages	11
Journal	Epilepsia
Volume	31
Issue number	3
DOIs	https://doi.org/10.1111/j.1528-1157.1990.tb05380.x
State	Published - Jun 1990

Keywords

Anterior temporal lobectomy
Childhood epilepsy
Children
Complex partial seizures
Neurosurgery
Seizures
Temporal lobe epilepsy

ASJC Scopus subject areas

Clinical Neurology
Neuroscience(all)

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10.1111/j.1528-1157.1990.tb05380.x

Cite this

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abstract = "The evaluation and outcome of 22 patients who had onset of complex partial seizures (CPS) of temporal lobe origin in childhood and subsequently underwent anterior temporal lobectomy are described. All patients showed improved seizure control; 81.8% had a reduction ≥95% in seizure frequency. However, many patients had difficulty adjusting to a seizure-free life. Psychosocial, behavioral, and educational problems occurred more frquently in patients whose surgery was delayed until adult life. We conclude that attempts should be made early in the course of CPS of childhood to determine whether the seizures are truly intractable to medical management so that surgical intervention can be expedited.",

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Anterior Temporal Lobectomy and Medically Refractory Temporal Lobe Epilepsy of Childhood

Abstract

Keywords

ASJC Scopus subject areas

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