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Titolo:
Evaluation of children for epilepsy surgery
Autore:
Olson, DM;
Indirizzi:
Stanford Univ, Med Ctr, Dept Neurol, Stanford, CA 94305 USA Stanford UnivStanford CA USA 94305 , Dept Neurol, Stanford, CA 94305 USA
Titolo Testata:
PEDIATRIC NEUROSURGERY
fascicolo: 3, volume: 34, anno: 2001,
pagine: 159 - 165
SICI:
1016-2291(200103)34:3<159:EOCFES>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
FRONTAL-LOBE EPILEPSY; LOCALIZATION-RELATED EPILEPSY; POSITRON-EMISSION-TOMOGRAPHY; CHILDHOOD SEIZURE DISORDERS; INFANTILE SPASMS; INTRACRANIAL EEG; DIFFERENTIAL-DIAGNOSIS; NONEPILEPTIC EVENTS; ANTIEPILEPTIC DRUGS; TUBEROUS SCLEROSIS;
Keywords:
epilepsy surgery; child; patient selection; electroencephalography; cerebral imaging; review;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
79
Recensione:
Indirizzi per estratti:
Indirizzo: Olson, DM Stanford Univ, Med Ctr, Dept Neurol, MC 5235, Stanford, CA 94305USA Stanford Univ MC 5235 Stanford CA USA 94305 anford, CA 94305 USA
Citazione:
D.M. Olson, "Evaluation of children for epilepsy surgery", PED NEUROS, 34(3), 2001, pp. 159-165

Abstract

There are three main components to the evaluation of children who are candidates for epilepsy surgery: (1) confirmation of the epileptic nature of the seizures, (2) establishing the medical intractability of the child's epilepsy and (3) localization of the epileptogenic zone. Differentiating epileptic from nonepileptic events requires careful review of the history and theelectroencephalogram. Electroencephalographic recording of the habitual seizures usually suffices to confirm the epileptic or nonepileptic nature of the events. Medical intractability is established by assuring that antiepileptic medications appropriate for the child's particular epilepsy syndrome have been used and have been titrated to maximum tolerance before being deemed ineffective. Confident localization of the epileptogenic zone requires that multiple findings such as behavior during the seizure, ictal and interictal EEG, and cerebra imaging studies provide data that are convergent with respect to a likely area of seizure onset. Copyright (C) 2001 S. Karger AG, Basel.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 21:30:47