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http://dx.doi.org/10.3340/jkns.2019.0026

Epilepsy Surgery in Children versus Adults  

Lee, Ki Hyeong (Comprehensive Epilepsy Center, Advent Health for Children)
Lee, Yun-Jin (Comprehensive Epilepsy Center, Advent Health for Children)
Seo, Joo Hee (Comprehensive Epilepsy Center, Advent Health for Children)
Baumgartner, James E. (Comprehensive Epilepsy Center, Advent Health for Children)
Westerveld, Michael (Comprehensive Epilepsy Center, Advent Health for Children)
Publication Information
Journal of Korean Neurosurgical Society / v.62, no.3, 2019 , pp. 328-335 More about this Journal
Abstract
Epilepsy is one of the most common chronic neurological disorder affecting 6-7 per 1000 worldwide. Nearly one-third of patients with newly diagnosed epilepsy continue to have recurrent seizures despite adequate trial of more than two anti-seizure drugs : drug-resistant epilepsy (DRE). Children with DRE often experience cognitive and psychosocial co-morbidities requiring more urgent and aggressive treatment than adults. Epilepsy surgery can result in seizure-freedom in approximately two-third of children with improvement in cognitive development and quality of life. Understanding fundamental differences in etiology, co-morbidity, and neural plasticity between children and adults is critical for appropriate selection of surgical candidates, appropriate presurgical evaluation and surgical approach, and improved overall outcome.
Keywords
Epilepsy; Surgery; Drug resistant epilepsy; Child;
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