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Pediatric Candidates for Temporal Lobe Epilepsy Surgery

Published online by Cambridge University Press:  02 December 2014

Warren T. Blume  and
Paul A. Hwang
Warren T. Blume
Affiliation:
London Health Sciences Centre, The University of Western Ontario, Ontario, Canada and, Toronto, Ontario, Canada
Paul A. Hwang
Affiliation:
London Health Sciences Centre, The University of Western Ontario, Ontario, Canada and, Toronto, Ontario, Canada
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Abstract

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Temporal lobectomy is an under-valued and effective therapy for selected children with temporal lobe seizures. This article details three components of the identification and evaluation of such children. The ictal symptoms and signs remains an essential component. This includes an aura suggesting limbic system involvement, and the nature of automatisms and other motor phenomena which may have lateralising value. Electroencephalography continues to accurately identify a principally epileptogenic focus in children and adults. The value of high quality magnetic resonance imaging is emphasized. Invasive studies are required in only a minority of cases. Several studies have revealed that 73-100% of carefully selected children receive benefit from this procedure whereas significant neurosurgical complications rarely occur.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 27 , Issue S1: Canadian Temporal Lobe Epilepsy Surgery Workshop , May 2000 , pp. S14 - S19
Copyright
Copyright © The Canadian Journal of Neurological 2000

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