Italian League (LICE) 2013
Epilepsy surgery in children: Evaluation of seizure outcome and predictive elements
Article first published online: 4 OCT 2013
Wiley Periodicals, Inc. © 2013 International League Against Epilepsy
Special Issue: Guidelines and Original Research from the Italian League Against Epilepsy (LICE)
Volume 54, Issue Supplement s7, pages 70–76, October 2013
How to Cite
Teutonico, F., Mai, R., Veggiotti, P., Francione, S., Tassi, L., Borrelli, P., Balottin, U. and LoRusso, G. (2013), Epilepsy surgery in children: Evaluation of seizure outcome and predictive elements. Epilepsia, 54: 70–76. doi: 10.1111/epi.12312
- Issue published online: 4 OCT 2013
- Article first published online: 4 OCT 2013
- Epilepsy surgery;
- Presurgical evaluation
To analyze the clinical outcome of epilepsy surgery in children, and to identify the factors related with a favorable seizure control among several presurgical, surgical and postsurgical variables.
One-hundred twenty children, younger than 16 years (69 male and 51 female), operated on for medically refractory focal epilepsy at the “C.Munari” Epilepsy Surgery Center of the Niguarda Hospital in Milan from 1998 to 2009, were identified. Seizure outcome was assessed according to the Engel's classification.
Statistical analysis was performed to identify predictive elements of seizure outcome among several presurgical, surgical, and postsurgical variables.
There were 84 (70%) seizure-free patients (Engel's classes Ia and Ic), 93 (77.5%) in class I, 8 (6.7%) in class II, 9 in class III (7.5%), and 10 (8.3%) in class IV.
Our study confirms that epilepsy surgery is an established and effective treatment for partial epilepsy in children and suggest criteria to help identify early potential surgical candidates.