Long-term outcome of resective epilepsy surgery in Norwegian children
Article first published online: 17 SEP 2012
© 2012 The Author(s)/Acta Pædiatrica © 2012 Foundation Acta Pædiatrica
Volume 101, Issue 12, pages e557–e560, December 2012
How to Cite
Aaberg, K., Eriksson, A.-S., Ramm-Pettersen, J. and Nakken, K. (2012), Long-term outcome of resective epilepsy surgery in Norwegian children. Acta Paediatrica, 101: e557–e560. doi: 10.1111/j.1651-2227.2012.02834.x
- Issue published online: 8 NOV 2012
- Article first published online: 17 SEP 2012
- Accepted manuscript online: 24 AUG 2012 10:12AM EST
- Received 4 July 2012; revised 15 August 2012; accepted 16 August 2012.
- Epilepsy surgery;
- Paediatric epilepsy;
Aim: The aim of this study was to evaluate the long-term results of resective surgery on children with difficult-to-treat epilepsy in Norway.
Methods: In the period 1995–2004, 64 surgical procedures (54 resections and 10 functional hemispherotomies) were performed in 54 children. The children’s medical records were retrospectively reviewed at a minimum of 2 years after surgery. We sent a questionnaire regarding their epilepsy (seizures, usage of antiepileptic drugs) and general functioning (social situation, motor, language, cognition, behavioural or emotional problems, any remedial action) to the children/parents after a mean follow-up period of 7 years.
Results: 55.5% of the children were seizure-free. The success rate varied according to the type of surgery. Best results were found after functional hemispherotomies and temporal lobe resections, as nine of 10 (90%) and 10 of 19 (53%) of these patients, respectively, became seizure-free. In addition to a better seizure control, 71% of the children/parents reported of a better cognitive and psychosocial functioning.
Conclusion: The results of epilepsy surgery in this paediatric cohort are very edifying, and it is our impression that this treatment option is underused in Norway.