2005
DOI: 10.3171/ped.2005.103.5.0401
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Long-term outcome after surgical treatment of temporal lobe epilepsy in children

Abstract: Successful postsurgical outcomes, especially in patients treated for mesial temporal lobe sclerosis and lesion-related epilepsies, can be obtained in pediatric patients suffering minimal complications. Unfavorable outcomes are most likely to occur when epileptiform discharges are bitemporal or multifocal in distribution and in cases involving incomplete resection of mesiotemporal structures.

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Cited by 53 publications
(62 citation statements)
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“…ATL has been reported to results in seizure free rates at 1 to 2 years, ranging from about 60% to 80% [20][21][22][23][24]. Seizure-free rates are even higher in patients with MTS [22,24], and about 90% of the patients report significant improvement in seizure control after ATL. Our own experience suggest that patients usually experience an all-or-none phenomenon after LiTT.…”
Section: Mtlementioning
confidence: 92%
“…ATL has been reported to results in seizure free rates at 1 to 2 years, ranging from about 60% to 80% [20][21][22][23][24]. Seizure-free rates are even higher in patients with MTS [22,24], and about 90% of the patients report significant improvement in seizure control after ATL. Our own experience suggest that patients usually experience an all-or-none phenomenon after LiTT.…”
Section: Mtlementioning
confidence: 92%
“…6,24,30,36 One prospective study (of TLRs in children) was unique in presenting no major complications; however, in this study the total rate of complications (5.5%) was similar to the total rate in the present study (5.2%). 25 In an earlier study from SNESUR, 3.1% major and 8.9% minor complications were reported. 32 Because the same register was used for the analysis as in the present study (although before 1995 the register had both retrospectively and prospectively collected data), comparisons are possible.…”
Section: Discussionmentioning
confidence: 99%
“…1,17 For TLRs, the corresponding figures are 0%-10.9% for major complications and 5.5%-10.9% for minor complications. 1,5,17,25 In a randomized controlled study of TLRs, there were 10% with adverse effects of surgery. In this study, complications were not divided into major and minor.…”
Section: Discussionmentioning
confidence: 99%
“…Among the pathological lesions in the temporal lobe that can lead to medically refractory epilepsy in children, the most common causes are neoplastic, mesial temporal sclerosis, cortical dysplasia, and vascular lesions (57,58). Neoplastic causes of epilepsy comprise up to 20% of surgical cases in the pediatric population (59).…”
Section: Temporal Lesionectomymentioning
confidence: 99%